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

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Contact & Hours

Address: 2365 Monarchos Ln
Montgomery, IL 60538
Phone: (815) 575-5943

Locations (2)

Practice Location

2365 Monarchos Ln, Montgomery, IL

Practice Location

80 TEMPLETON DR, OSWEGO, IL

Quick Facts

NPI: 1962181115
Entity Type: Individual
Gender: Female
Medicare: Accepted
Specialties: 2
Locations: 2
Years in Practice: 3

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