Individual
ALISSA MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, NNP
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2501
(217) 383-3266
(217) 383-3463
Mailing address
611 W PARK ST, URBANA, IL 61801-2501
(217) 383-3266
(217) 383-3463
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209028453
IL
363LN0005X
Critical Care Neonatal Nurse Practitioner
2022006475
MO
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
209028453
IL
Other
Enumeration date
02/24/2022
Last updated
12/09/2024
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