Provider Demographics
NPI:1902379621
Name:HUSSEY, VONNISE RENEE' (DNP, APRN, FNP-BC)
Entity Type:Individual
Prefix:DR
First Name:VONNISE
Middle Name:RENEE'
Last Name:HUSSEY
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1835 DIXIE HWY STE 104
Mailing Address - Street 2:
Mailing Address - City:FLOSSMOOR
Mailing Address - State:IL
Mailing Address - Zip Code:60422-1974
Mailing Address - Country:US
Mailing Address - Phone:312-285-2100
Mailing Address - Fax:312-285-2854
Practice Address - Street 1:1835 DIXIE HWY STE 104
Practice Address - Street 2:
Practice Address - City:FLOSSMOOR
Practice Address - State:IL
Practice Address - Zip Code:60422-1974
Practice Address - Country:US
Practice Address - Phone:312-285-2100
Practice Address - Fax:312-285-2854
Is Sole Proprietor?:No
Enumeration Date:2019-01-04
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL277001371363LF0000X
IL209018034363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily