person
Carissa Gorham
Clinical Nurse Specialist in Peoria, Illinois
NPI 1407259559

Carissa Gorham is a Clinical Nurse Specialist based in Peoria, IL. Carissa Gorham practices in Peoria, IL. The NPI Number for Carissa Gorham is 1407259559 and holds a License No. 041338732 (Illinois).

The current practice location address for Carissa Gorham is 530 Ne Glen Oak Ave, Peoria, IL and can be reached out via phone at 309-655-3000.

Location: 530 Ne Glen Oak Ave, Peoria, IL, 61637-0001
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Provider Profile Details
NPI Number
1407259559
Provider Name
Carissa Gorham
Credential
Provider Entity Type
Individual
Gender
Female
Address
530 Ne Glen Oak Ave, Peoria, IL, 61637-0001
Phone Number
309-655-3000
Fax Number
Provider Enumeration Date
10/03/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
530 Ne Glen Oak Ave
City
State
Zip
61637-0001
Phone Number
309-655-3000
Fax Number
person
Provider Business Mailing Address Details
Address
530 Ne Glen Oak Ave
City
State
Zip
61637-0001
Phone Number
309-655-3000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
-
Taxonomy
License No.
041338732 (Illinois)
Definition
A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.
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