Individual
ASHLEY GATONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 WABASH AVE, SPRINGFIELD, IL 62704-5352
(217) 528-7541
Mailing address
PO BOX 19248, SPRINGFIELD, IL 62794-9248
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209029338
IL
Other
Enumeration date
03/20/2024
Last updated
09/10/2024
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