Individual
MRS. KOURTNEY CECELIA CHAPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2 MEMORIAL DR STE 220, ALTON, IL 62002-6723
(618) 474-1723
Mailing address
2 MEMORIAL DR STE 220, ALTON, IL 62002-6723
(618) 474-1723
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209025672
IL
Other
Enumeration date
01/19/2021
Last updated
10/17/2022
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