Individual
BROOKE NICOLE MACDOUGALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1800 E 54TH ST STE B, DAVENPORT, IA 52807-2852
(563) 344-7546
(563) 344-1373
Mailing address
4909 N GLEN PARK PLACE RD, PEORIA, IL 61614-4689
(309) 674-7546
(309) 282-2075
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A154405
IA
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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