| Doctor Name: | VERNA DENICE O'ROURKE |
| NPI Number: | 1013284918 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PMHNP-BC |
| License Number: | 209009301 |
| Business Practice Address: | 3111 Williamson County Pkwy Marion, IL - 629595235 |
| Business Phone Number: | 6189973647 |
| Business Fax Number: | 6189981328 |
| Mailing Address: | 514 N Beadle Dr Apt 1, CARBONDALE |
| State: | IL |
| Postal Code: | 629011167 |
| Phone Number: | 6154773078 |
| Fax Number: | |
| NPI Enumeration Date: | 11/19/2011 |
| NPI Last Update Date: | 12/01/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0809X |
| License Number: | 209009301 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |