person
Kimberly J. Bankston, ANP
Family Nurse Practitioner in El Paso, Illinois
NPI 1962428003

Kimberly J. Bankston is a Family Nurse Practitioner based in Bloomington, IL and is specialized in Family. Kimberly J. Bankston practices in El Paso, IL and has the professional credentials of ANP. The NPI Number for Kimberly J. Bankston is 1962428003 and holds a License No. 20900121 (Illinois).

The current practice location address for Kimberly J. Bankston is 385 S Orange St, El Paso, IL and can be reached out via phone at 309-527-4900 and via fax at 309-527-3525.

Location: 385 S Orange St, El Paso, IL, 61702-2451
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Provider Profile Details
NPI Number
1962428003
Provider Name
Kimberly J. Bankston
Credential
ANP
Provider Entity Type
Individual
Gender
Female
Address
385 S Orange St, El Paso, IL, 61702-2451
Phone Number
309-527-4900
Fax Number
309-527-3525
Provider Enumeration Date
07/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5720935 01 BLUE CROSS BLUE SHIELD
10220308 01 BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
385 S Orange St
City
State
Zip
61738-1613
Phone Number
309-527-4900
Fax Number
309-527-3525
person
Provider Business Mailing Address Details
Address
385 S Orange St
City
State
Zip
61738-1613
Phone Number
309-527-4900
Fax Number
309-527-3525
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
20900121 (Illinois)
Definition
Definition to come...
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