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Mary Tumsutan, APRN

Nurse Practitioner, Family in Jacksonville, IL. Individual provider (NPI-1).

NPI number1013827872
StatusActive
Last updated in NPPESSep 11, 2026

Details

NPI
1013827872
Entity type
Individual (NPI-1)
Name
Mary Tumsutan
Credential
APRN
Sex
Female
Sole proprietor
No
Enumeration date
Sep 11, 2026
Certification date
Sep 11, 2026
Last updated
Sep 11, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family209034219ILYes

Other names

  • Piyanush Tumsatan (Other Name)

Practice location

901 W Morton Ave Ste 22
Jacksonville, IL 62650-4021

Phone 217-588-6140 · Fax 217-588-3043

Mailing address

901 W Morton Ave Ste 22
Jacksonville, IL 62650-4021

Phone 217-588-6140 · Fax 217-588-3043

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