Individual
ASHLEY N MEHOCHKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
1418 CROSS ST STE 250, SHILOH, IL 62269-2988
(618) 236-8000
Mailing address
1418 CROSS ST STE 250, SHILOH, IL 62269-2988
(618) 236-8000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209019876
IL
363LF0000X
Family Nurse Practitioner
Primary
209019876
IL
Other
Enumeration date
08/16/2019
Last updated
11/02/2021
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