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NPI Code Detail

MEDICARE: MRS. ANGELA STERLING JUNKINS MSN, CRNP

MEDICARE: MRS. ANGELA STERLING JUNKINS MSN, CRNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner1-079410AL

General Provider Information

NPI Number : 1659640217
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANGELA STERLING JUNKINS MSN, CRNP
Provider Business Mailing Address
First Line : 10100 FOREST HILLS RD # DPT0399
Second Line :
City : MACHESNEY PARK
State : IL
Zip : 61115-8234
Country : US
Telephone Number : 815-713-2600
Fax Number : 815-654-8020
Provider Business Practice Location Address
First Line : 115 W GRAND AVE
Second Line : SUITE 90
City : RAINBOW CITY
State : AL
Zip : 35906-3275
Country : US
Telephone Number : 256-459-4987
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2011
Last Update Date : 06/04/2012

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