Clubb, Riley Renee

Clubb, Riley Renee is an sole proprietor health care provider with primary practice located at 6805 Il-162 , Maryville IL 62062. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Clubb, Riley Renee can be contacted via phone (618) 288-5019.

Contact Information

Primary practice address
6805 Il-162 Maryville IL 62062
Phone: (618) 288-5019
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 041.454256 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 209029835 Illinois

Profile Details

NPI number 1881387660
LBN Legal business name Clubb, Riley Renee
Credentials BSN, RN, DNP, PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2023
Last updated Jun 21st, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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