Individual
ANDREW W MESSMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
3132 OLD JACKSONVILLE RD, SPRINGFIELD, IL 62704-7400
(217) 588-2600
(217) 757-2021
Mailing address
PO BOX 3428, SPRINGFIELD, IL 62708-3428
(217) 588-2600
(217) 757-2021
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209016934
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041412788
RN LICENSE
IL
Enumeration date
08/10/2017
Last updated
02/22/2019
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