Individual
MS. CARRIE GOODRUM ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1096 1350TH ST, LINCOLN, IL 62656-5094
(217) 735-5581
Mailing address
1096 1350TH ST, LINCOLN, IL 62656-5094
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209017097
IL
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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