Individual
CHRIS WASSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
901 W MORTON AVE STE 22, JACKSONVILLE, IL 62650-4021
(217) 588-6140
(217) 588-3043
Mailing address
901 W MORTON AVE STE 22, JACKSONVILLE, IL 62650-4021
(217) 588-6140
(217) 588-3043
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209020620
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041297456
RN
IL
Enumeration date
01/02/2020
Last updated
05/19/2023
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