Individual
DANIELLE KLUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
900 N WASHINGTON STREET, DU QUOIN, IL 62832
(217) 788-0706
Mailing address
900 N WASHINGTON STREET PO BOX 192, DU QUOIN, IL 62832
(217) 788-0706
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209-007720
IL
363LF0000X
Family Nurse Practitioner
Primary
277.000024
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370661218401
—
IL
Enumeration date
12/30/2009
Last updated
02/14/2020
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