NPI Profile for JOAN L MASON in PEORIA, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Occupational Health |
363LX0106X | 50 | Nurse Practitioner |
| NPI # | 1881232643 |
|
| Status | Active | |
| Credentials | APN | |
| Entity | Individual | |
| Enumeration date | 12/11/2019 | |
| Last updated | 12/01/2023 - About 3 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JOAN L MASON
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