IndividualActive
Amber Wennerstrom, DNP, PMHNP-C
NPI 1144844572 · Psychiatric/Mental Health Nurse Practitioner · Centralia, IL
Provider details
- NPI number
- 1144844572
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- DNP, PMHNP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 209021350 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
444 N Pleasant Ave
Centralia, IL 62801-3006
Phone: (618) 436-5665
Approximate (ZIP-level) locationGet directions
Mailing address
550 Clinton St
Carlyle, IL 62231-1504
Registry dates
- Enumerated
- 2020-06-01
- Last updated
- 2023-11-27
- Certified
- 2020-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.