Antonio Terell Thomas, PMNHP
Antonio Terell Thomas, PMNHP is a Nurse Practitioner in Maryville, Illinois. Qualified in 2025, 1 year ago. Practices with Southern Illinois Associates LLC, a 16-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 1
- Licensed in
- IL
- In the registry since
- 2025
Practice location Address checks out
6805 State Route 162Maryville, IL 62062-8530
Phone: (618) 288-5019
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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 · Licence 209034699 (IL) |
|---|
Record details
| NPI number | 1558226910 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PMNHP |
| Sole proprietor | No |
| NPI enumerated | December 18, 2025 |
| Last updated in NPPES | April 23, 2026 |
| Certification date | April 23, 2026 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Group practice | Southern Illinois Associates Llc — 16 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Maryville
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Amanda Rea Miller, RN, MSN, PMHNP-BC
6805 Il 162 Ste 201, Maryville, IL 62062 · (618) 288-5019
-
Katherine Napier, APRN, PMHNP-BC
24B Professional Park Dr, Maryville, IL 62062-5856 · (618) 310-0085
-
McKenzie Leigh Nikonovich, PMHNP-BC
6805 State Route 162 Ste 201, Maryville, IL 62062-8530 · (618) 288-5019
-
Jennifer Thery
6805 State Route 162 Ste 201, Maryville, IL 62062-8530 · (618) 288-5019
-
Gina Maria Wolff, APRN, PMHNP-BC
24B Professional Park Dr, Maryville, IL 62062-5856 · (618) 310-0085