Healthcare Provider Details

I. General information

NPI: 1396229522
Provider Name (Legal Business Name): ALISON J. GERRINGER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALISON J. KIRCHGESNER

II. Dates (important events)

Enumeration Date: 09/24/2018
Last Update Date: 01/17/2025
Certification Date: 01/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 W CARPENTER ST
SPRINGFIELD IL
62702-4902
US

IV. Provider business mailing address

3608 WITTINGTON CT
SPRINGFIELD IL
62704-6708
US

V. Phone/Fax

Practice location:
  • Phone: 217-528-7541
  • Fax: 217-525-1404
Mailing address:
  • Phone: 217-494-0532
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209018101
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: