NICOLE WAKEFIELD

CHAMPAIGN, IL
NPI1417730938
Former NameNICOLE MCCOY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209028120)
Enumeration Date2023-08-17
Last Update Date2025-05-06
Business Address
Ms. NICOLE WAKEFIELD
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820-3981
Phone number: 217-366-1255
Mailing Address
Ms. NICOLE WAKEFIELD
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820-3909
Phone number: 217-366-1255
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