IndividualActive
Carley Promisson
NPI 1346016060 · Family Nurse Practitioner · Canton, IL
Provider details
- NPI number
- 1346016060
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 209028861 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
126 N 5th Ave
Canton, IL 61520-2800
Phone: (309) 647-0201
Approximate (ZIP-level) locationGet directions
Mailing address
180 S Main St
Canton, IL 61520-2608
Registry dates
- Enumerated
- 2023-12-04
- Last updated
- 2023-12-04
- Certified
- 2023-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.