Dr Riley Renee Clubb, BSN, RN, DNP, PMHNP - Nurse Practitioner in Maryville, IL

Dr Riley Renee Clubb, BSN, RN, DNP, PMHNP is a Nurse Practitioner - Psychiatric/mental Health based in Maryville, Illinois. Dr Riley Renee Clubb is licensed to practice in Illinois (license number 209029835) and her current practice location is 6805 Il-162, Maryville, Illinois. She can be reached at her office (for appointments etc.) via phone at (618) 288-5019.

NPI number for Dr Riley Renee Clubb is 1881387660 and her current mailing address is 6805 Il-162, Maryville, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1881387660.

Contact Information

Dr Riley Renee Clubb, BSN, RN, DNP, PMHNP
6805 Il-162,
Maryville, IL 62062
(618) 288-5019
Not Available

Map and Direction




Provider's Profile

Full NameDr Riley Renee Clubb
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location6805 Il-162, Maryville, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1881387660
  • Provider Enumeration Date: 05/30/2023
  • Last Update Date: 06/21/2024

Medical Identifiers

Medical identifiers for Dr Riley Renee Clubb such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881387660NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 041.454256 (Illinois)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 209029835 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Riley Renee Clubb is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Riley Renee Clubb, BSN, RN, DNP, PMHNP
6805 Il-162,
Maryville, IL 62062

Ph: (618) 288-5019
Dr Riley Renee Clubb, BSN, RN, DNP, PMHNP
6805 Il-162,
Maryville, IL 62062

Ph: (618) 288-5019

Reviews and Comments


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