Allensworth, Teresa A

Allensworth, Teresa A is an individual health care provider with primary practice located at 1707 N 12Th St , Quincy IL 62301-1355. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Allensworth, Teresa A can be contacted via phone (217) 222-8641.

Contact Information

Primary practice address
1707 N 12Th St Quincy IL 62301-1355
Phone: (217) 222-8641
Fax: (217) 222-8578
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209006688 Illinois

Profile Details

NPI number 1992989214
LBN Legal business name Allensworth, Teresa A
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2007
Last updated Aug 12th, 2014 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992989214 NPPES
Illinois Other 209006688 CNP LICENSE NUMBER

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