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Carley Elizabeth Promisson
Family Nurse Practitioner in Canton, Illinois
NPI 1346016060

Carley Elizabeth Promisson is a Family Nurse Practitioner based in Canton, IL and is specialized in Family. Carley Elizabeth Promisson practices in Canton, IL. The NPI Number for Carley Elizabeth Promisson is 1346016060 and holds a License No. 209028861 (Illinois).

The current practice location address for Carley Elizabeth Promisson is 126 N 5Th Ave, Canton, IL and can be reached out via phone at 309-647-0201.

Location: 126 N 5Th Ave, Canton, IL, 61520-2608
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346016060
Provider Name
Carley Elizabeth Promisson
Credential
Provider Entity Type
Individual
Gender
Female
Address
126 N 5Th Ave, Canton, IL, 61520-2608
Phone Number
309-647-0201
Fax Number
Provider Enumeration Date
12/04/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
126 N 5Th Ave
City
Canton
State
Illinois
Zip
61520-2800
Phone Number
309-647-0201
Fax Number
person
Provider Business Mailing Address Details
Address
126 N 5Th Ave
City
Canton
State
Illinois
Zip
61520-2800
Phone Number
309-647-0201
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209028861 (Illinois)
Definition
Definition to come...
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