Individual provider · Type 1 NPI

Colleen Susanne Cushing Ragon, APN, CNS

Family Nurse Practitioner · Peoria, IL

NPI number 1073804217 Active

Practice location

5401 N Knoxville Ave
Peoria, IL 61614-5098

Call (309) 691-1069 Map

Mailing address

8940 N Wood Sage Rd
Peoria, IL 61615-7822

Specialties and licenses

Taxonomy	Code	License
Adult Health Clinical Nurse Specialist	364SA2200X	209.008764 (IL)
Family Nurse Practitioner Primary	363LF0000X	209.013583 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1073804217

Colleen Susanne Cushing Ragon, APN, CNS's National Provider Identifier is 1073804217, issued on Apr 21, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Peoria, IL. The record was last updated on Mar 18, 2026.