Provider Demographics
NPI:1659640217
Name:JUNKINS, ANGELA STERLING (MSN, CRNP)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:STERLING
Last Name:JUNKINS
Suffix:
Gender:F
Credentials:MSN, CRNP
Other - Prefix:MS
Other - First Name:ANGELA
Other - Middle Name:STERLING
Other - Last Name:WEST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10100 FOREST HILLS RD # DPT0399
Mailing Address - Street 2:
Mailing Address - City:MACHESNEY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:61115-8234
Mailing Address - Country:US
Mailing Address - Phone:815-713-2600
Mailing Address - Fax:815-654-8020
Practice Address - Street 1:115 W GRAND AVE
Practice Address - Street 2:SUITE 90
Practice Address - City:RAINBOW CITY
Practice Address - State:AL
Practice Address - Zip Code:35906-3275
Practice Address - Country:US
Practice Address - Phone:256-459-4987
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-27
Last Update Date:2012-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-079410363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner