Individual
KARISSA L STOKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1802 S MATTIS AVE, CHAMPAIGN, IL 61821-5923
(217) 365-2855
Mailing address
1802 S MATTIS AVE, CHAMPAIGN, IL 61821-5923
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.029012
IL
Other
Enumeration date
01/03/2024
Last updated
04/26/2024
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