Individual
KIRSTEN TIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
901 W MORTON AVE, SUITE 16A, JACKSONVILLE, IL 62650-3145
(217) 479-9071
Mailing address
1025 S 7TH ST, SPRINGFIELD, IL 62703-2416
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209004852
IL
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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