| Benjamin Clark, PMHNP-BC | |
|
1204 Kingsbury Rd, Washington, IL 61571-1213 | |
| (309) 253-4519 | |
| Not Available |
| Full Name | Benjamin Clark |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 1204 Kingsbury Rd, Washington, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467298257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209029848 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Clark, PMHNP-BC 1204 Kingsbury Rd, Washington, IL 61571-1213 Ph: (309) 253-4519 | Benjamin Clark, PMHNP-BC 1204 Kingsbury Rd, Washington, IL 61571-1213 Ph: (309) 253-4519 |
Jennifer Van Autreve, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1986 Freedom Pkwy, Washington, IL 61571 Phone: 309-308-5100 | |
Rachel A Amsbaugh, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1986 Freedom Pkwy Ste 1, Washington, IL 61571 Phone: 309-308-5100 | |
Jessica E. Garceau, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 Saint Clare Ct, Washington, IL 61571 Phone: 309-886-4000 Fax: 309-886-4118 | |
Katherine J Engelke, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10 Saint Clare Ct, Washington, IL 61571 Phone: 309-886-4000 Fax: 309-886-4118 | |
Shannon R Lane, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1960 Freedom Pkwy, Washington, IL 61571 Phone: 309-745-7425 | |
Gail Goeppinger, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10 Saint Clare Ct, Washington, IL 61571 Phone: 309-886-4000 Fax: 309-886-4118 |