Individual provider · Type 1 NPI

Tina Longphee, APN

Family Nurse Practitioner · Rockford, IL

NPI number 1053950055 Active

Practice location

2400 N Rockton Ave
Rockford, IL 61103-3655

Fax (815) 971-9020

Mailing address

3383 Citadel Dr
Rockford, IL 61109-3848

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X041.393203 (IL)
Family Nurse Practitioner Primary 363LF0000X209.020492 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1053950055

Tina Longphee, APN's National Provider Identifier is 1053950055, issued on Dec 23, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Rockford, IL. The record was last updated on Dec 23, 2019.