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Individual

DESTINY CRAVEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, PMHNP

Contact information

Practice address
521 E MAIN ST, MOUNT STERLING, IL 62353-1378
(217) 285-2113
(217) 773-7107
Mailing address
1005 BROADWAY ST, QUINCY, IL 62301-2834
(217) 223-8400
(217) 773-7107

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209029940
IL

Other

Enumeration date
07/03/2024
Last updated
04/02/2025
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