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Jamie Lyn Mabry, APN/CNP
Family Nurse Practitioner in Herrin, Illinois
NPI 1902812688

Jamie Lyn Mabry is a Family Nurse Practitioner based in Herrin, IL and is specialized in Family. Jamie Lyn Mabry practices in Herrin, IL and has the professional credentials of APN/CNP. The NPI Number for Jamie Lyn Mabry is 1902812688 and holds a License No. 209006061 (Illinois).

The current practice location address for Jamie Lyn Mabry is 201 S 14Th St, Herrin, IL and can be reached out via phone at 618-942-2171.

Location: 201 S 14Th St, Herrin, IL, 62948-3631
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902812688
Provider Name
Jamie Lyn Mabry
Credential
APN/CNP
Provider Entity Type
Individual
Gender
Female
Address
201 S 14Th St, Herrin, IL, 62948-3631
Phone Number
618-942-2171
Fax Number
Provider Enumeration Date
08/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00428389 01 IL MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
201 S 14Th St
City
Herrin
State
Illinois
Zip
62948-3631
Phone Number
618-942-2171
Fax Number
person
Provider Business Mailing Address Details
Address
201 S 14Th St
City
Herrin
State
Illinois
Zip
62948-3631
Phone Number
618-942-2171
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209006061 (Illinois)
Definition
Definition to come...
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