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KANDISE MOONEYHAM
Family Nurse Practitioner
NPI: 1962181115IndividualAccepts Medicare
Specialties, Licenses & Credentials
Family Nurse PractitionerPrimary
Nurse Practitioner — Family
Code: 363LF0000X
209028373(IL)
Registered Nurse
Registered Nurse
Code: 163W00000X
041452140(IL)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2023
Contact & Hours
Via practice · 2 locations total
- Address
- 2365 Monarchos Ln
Montgomery, IL 60538 - Phone
- (815) 575-5943
Quick Facts
- NPI
- 1962181115
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 2
- Years in Practice
- 3
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