| Carley Elizabeth Promisson, | |
|
126 N 5th Ave, Canton, IL 61520-2800 | |
| (309) 647-0201 | |
| Not Available |
| Full Name | Carley Elizabeth Promisson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 126 N 5th Ave, Canton, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346016060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209028861 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Carley Elizabeth Promisson, 180 S Main St, Canton, IL 61520-2608 Ph: (309) 647-0201 | Carley Elizabeth Promisson, 126 N 5th Ave, Canton, IL 61520-2800 Ph: (309) 647-0201 |
Ms. Dara Marie Wagner, APN-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 180 S Main St, Canton, IL 61520 Phone: 309-647-0201 | |
Tracy Ann Iversen, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 210 W Walnut St, Canton, IL 61520 Phone: 309-647-0201 | |
Jessica Lynn Bugos, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 180 S Main St, Canton, IL 61520 Phone: 309-647-0201 | |
Cody J. Gibbs, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 180 S Main St, Canton, IL 61520 Phone: 309-647-0201 Fax: 309-649-6880 | |
Stephanie Barnes, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 180 S Main St, Canton, IL 61520 Phone: 309-647-0201 Fax: 309-649-6880 | |
Theresa Bankert, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 700 E Oak St, Canton, IL 61520 Phone: 309-647-1134 |