| Doctor Name: | DANIELLE IRELAND |
| NPI Number: | 1356756993 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 209011584 |
| Business Practice Address: | 112 W Madison Ave Chrisman, IL - 619241118 |
| Business Phone Number: | 2172692394 |
| Business Fax Number: | 2172692438 |
| Mailing Address: | 727 E Court St, PARIS |
| State: | IL |
| Postal Code: | 619442460 |
| Phone Number: | 2174658411 |
| Fax Number: | 2174633184 |
| NPI Enumeration Date: | 06/23/2014 |
| NPI Last Update Date: | 07/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 209011584 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |