Individual provider · Type 1 NPI

Kelly L. Perisin, FNP-C

Nurse Practitioner · Peoria, IL

NPI number 1063909299 Active

Practice location

2426 W Cornerstone Ct Ste 100
Peoria, IL 61614-2400

Call (309) 966-3137 Map

Mailing address

2608 W Sesame St
Dunlap, IL 61525-7527

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209017367 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1063909299

Kelly L. Perisin, FNP-C's National Provider Identifier is 1063909299, issued on Apr 13, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Peoria, IL. The record was last updated on Aug 9, 2021.