Individual
NICOLE LYNN ATWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
751 N RUTLEDGE ST STE 3100, SPRINGFIELD, IL 62702-4968
(217) 545-8000
(217) 545-7363
Mailing address
PO BOX 19643, SPRINGFIELD, IL 62794-9643
(217) 545-8000
(217) 545-7363
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
209.010663
IL
Other
Enumeration date
09/04/2013
Last updated
10/16/2020
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