Brianna C Neal, APRN
Nurse Practitioner, Family in Kankakee, IL. Individual provider (NPI-1).
NPI number1164024808
StatusActive
Last updated in NPPESJan 4, 2024
Details
- NPI
- 1164024808
- Entity type
- Individual (NPI-1)
- Name
- Brianna C Neal
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 9, 2020
- Certification date
- Jan 4, 2024
- Last updated
- Jan 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 209022388 | IL | Yes |
| 363L00000X | Nurse Practitioner | 209.022388 | IL |
Practice location
70 Meadowview Ctr Ste 300Kankakee, IL 60901-2062
Phone 815-802-0022 · Fax 815-802-0011
Mailing address
70 Meadowview Ctr Ste 300Kankakee, IL 60901-2062
Phone 815-802-0022 · Fax 815-802-0011
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