Terry Soper, NP

NPI #1457645145 in Decatur, Illinois

Provider Information

NPI Number
1457645145
Entity Type
Individual
Name
Terry Soper, NP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner
Credential
NP
Enumeration Date
May 31, 2011
Last Updated
May 31, 2011

Practice Location

Address
102 W KENWOOD AVE
Address 2
SUITE 120
ZIP Code
62526-4368
Phone
(217) 876-2199

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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