Doctor Name: | REBECCA L PIND |
NPI Number: | 1417077785 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN |
License Number: | |
Business Practice Address: | 517 N Main St Anna, IL - 629061668 |
Business Phone Number: | 6188332295 |
Business Fax Number: | 6188339058 |
Mailing Address: | 422 Cook Ave, JONESBORO |
State: | IL |
Postal Code: | 629521100 |
Phone Number: | 6188335161 |
Fax Number: | 6188335982 |
NPI Enumeration Date: | 03/30/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |