Individual provider · NPI-1

Jeannette M Atcherson, CST/CFA

Specialist/Technologist, Other, Surgical Assistant · Springfield, IL

NPI number1922149442
StatusActive
Last updated in NPPESApr 26, 2012

Details

NPI
1922149442
Entity type
Individual (NPI-1)
Name
Jeannette M Atcherson
Credential
CST/CFA
Sex
Female
Sole proprietor
No
Enumeration date
Feb 8, 2007
Last updated
Apr 26, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
246ZC0007X Specialist/Technologist, Other, Surgical Assistant237000020ILYes

Practice location

800 N. 1st Street
Springfield, IL 62702

Phone 217-528-7541

Mailing address

1025 S 6th St
Springfield, IL 62703-2403

Phone 217-528-7541

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