Nieters, Abigail Jemima
Nieters, Abigail Jemima is an sole proprietor health care provider with primary practice located at 1005 Broadway St , Quincy IL 62301-2834. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Emergency, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Nieters, Abigail Jemima can be contacted via phone (217) 223-8400.Contact Information
Primary practice address
1005 Broadway St
Quincy IL 62301-2834
Phone: (217) 223-8400
Fax: (217) 223-9945
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Emergency | 163WE0003X | 130349 | Missouri |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209013923 | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 1-184310 | Alabama |
Profile Details
NPI number | 1275866600 |
---|---|
LBN Legal business name | Nieters, Abigail Jemima |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 17th, 2009 |
Last updated | Mar 25th, 2021 - about 3 years ago |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1275866600 | NPPES |
Illinois | Other | 363LF0000X | TAXONOMY |
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