Provider Demographics
NPI:1578063954
Name:NIGHTINGALE-FOLLIS, NOEL
Entity Type:Individual
Prefix:
First Name:NOEL
Middle Name:
Last Name:NIGHTINGALE-FOLLIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2151 W WHITE OAKS DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62704-6410
Mailing Address - Country:US
Mailing Address - Phone:217-891-7732
Mailing Address - Fax:
Practice Address - Street 1:2151 W WHITE OAKS DR STE D
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:IL
Practice Address - Zip Code:62704-6410
Practice Address - Country:US
Practice Address - Phone:217-319-9451
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-13
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional