KACIE L DAWSON

SPRINGFIELD, IL
NPI1962123646
Former NameKACIE L SHAEFER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: IL  209.025658)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: IL  209.025658)
Enumeration Date2022-09-09
Last Update Date2024-10-15
Business Address
KACIE L DAWSON AGPCNP
319 E MADISON ST STE 1F
SPRINGFIELD, IL 62701-3118
Phone number: 217-545-8000
Mailing Address
KACIE L DAWSON AGPCNP
PO BOX 19639
SPRINGFIELD, IL 62794-9639
Phone number: 217-545-8000