Organization · Type 2 NPI
Memorial Physician Services
Family Nurse Practitioner · Springfield, IL
NPI number
1063961936
Active
Practice location
3132 Old Jacksonville Rd
Springfield, IL 62704-7400
Mailing address
701 N 1st St
Springfield, IL 62781-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Acute Care Hospital | 282N00000X | 209.014926 (IL) |
| Family Nurse Practitioner Primary | 363LF0000X | 209.014926 (IL) |
Family Nurse Practitioner: Definition to come...
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Other family nurse practitioner providers in Springfield
About NPI 1063961936
Memorial Physician Services's National Provider Identifier is 1063961936, issued on Oct 3, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Springfield, IL. The record was last updated on Oct 3, 2016.