Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ink & Ivy Psychiatry, LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1023948973

Ink & Ivy Psychiatry, LLC is a Psychiatric/Mental Health Nurse Practitioner in Dieterich, Illinois. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

203 S Main St
Dieterich, IL 62424-1128
Phone: (618) 852-1395
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1023948973
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacklyn Stanley — Pmhnp · (618) 852-1395
NPI enumeratedMay 21, 2026
Last updated in NPPESMay 21, 2026
Certification dateMay 21, 2026
Mailing address113 E Walnut St, Noble, IL 62868-1709

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