Cora Jean Threadgill in Freeport - Registered Nurse
Cora Jean Threadgill - NPI 1104020833
Cora Jean Threadgill is a Registered Nurse in Freeport, Illinois. Cora Jean Threadgill practices all healthcare services and medical treatments related to Registered Nurse. The NPI Number for Cora Jean Threadgill is 1104020833. The last update date is 2007-07-08.
Cora Jean Threadgill's current location address is 701 W Lamm Rd, Freeport, Illinois. You can contact this provider via phone number 8152336162 and fax number 8152336167. The mailing address for Cora Jean Threadgill is 701 W Lamm Rd, Freeport, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cora Jean Threadgill |
|---|---|
| Address | 701 W Lamm Rd, Freeport, Illinois |
| Phone Number | 8152336162 |
| Fax Number | 8152336167 |
| Sole Proprietor | N |
| Credentials | RN |
NPI Number Detail
| NPI Number | 1104020833 |
|---|---|
| Provider Enumeration Date | 2007-06-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 701 W Lamm Rd |
|---|---|
| City | Freeport |
| State | Illinois (IL) |
| Post Code | 610329630 |
| Phone Number | 8152336162 |
| Fax Number | 8152336167 |
Provider's Primary Taxonomy Detail
| Speciality | Registered Nurse |
|---|---|
| Taxonomy | 163W00000X |
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Definition: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of |
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What is the unique provider identifier assigned to Cora Jean Threadgill?
The Cora Jean Threadgill has been issued the NPI (National Provider Identifier) 1104020833 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Cora Jean Threadgill's physical address?
The Cora Jean Threadgill is physically located at 701 W Lamm Rd, in the city of Freeport, IL, with the postal code 610329630.
What is Cora Jean Threadgill's specialized field of practice, and what is the corresponding taxonomy classification code?
The Cora Jean Threadgill's area of specialization is Registered Nurse, and the corresponding taxonomy code that categorizes this field of practice is 163W00000X.
On what date did the Cora Jean Threadgill receive the assignment of its 1104020833 from the Centers for Medicare & Medicaid Services?
The Cora Jean Threadgill was issued its 1104020833 by the Centers for Medicare & Medicaid Services on 2007-06-14.
As of what date was the information regarding Cora Jean Threadgill, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Cora Jean Threadgill, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1942206313
Address: 1250 N Wenatchee Ave Suite H Pmb 352, Wenatchee, WA