Individual
HANNAH J. BETTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
751 N RUTLEDGE ST STE 1100, SPRINGFIELD, IL 62702-4968
(217) 545-8000
(217) 545-4735
Mailing address
PO BOX 19628, SPRINGFIELD, IL 62794-9628
(217) 545-8000
(217) 545-4735
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
209-017548
IL
363LP2300X
Primary Care Nurse Practitioner
Primary
209-017548
IL
Other
Enumeration date
04/30/2018
Last updated
10/18/2020
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