IndividualActive
Allison Kottackal, FNP
NPI 1427478049 · Family Nurse Practitioner · Benton Harbor, MI
Provider details
- NPI number
- 1427478049
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- License
- 209011039 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1022 E Main St
Benton Harbor, MI 49022-3036
Phone: (269) 926-0015
Fax: (269) 281-4475
Approximate (ZIP-level) locationGet directions
Mailing address
1022 E Main St
Benton Harbor, MI 49022-3036
Additional practice locations (2)
- 259 E Erie St Fl 17Chicago, IL 60611-2987Phone: (312) 926-4343Fax: (312) 925-0516
- 446 E Ontario St10-1000Chicago, IL 60611-4418Phone: (312) 649-3144
Registry dates
- Enumerated
- 2014-04-22
- Last updated
- 2022-05-31
- Certified
- 2022-05-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.