Individual
JEAN PAULA B NADONGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2529
(217) 383-1687
Mailing address
611 W. PARK ST, FAPC, URBANA, IL 61801
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209027867
IL
363LA2100X
Acute Care Nurse Practitioner
Primary
209027867
IL
363LF0000X
Family Nurse Practitioner
209027867
IL
Other
Enumeration date
08/16/2023
Last updated
01/23/2025
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