Individual provider · Type 1 NPI

Katie Michelle O'Halloran, FNP-BC

Family Nurse Practitioner · Mattoon, IL

NPI number 1104427293 Active

Practice location

1000 Health Center Dr
Mattoon, IL 61938-4644

Call (217) 238-4960 Map

Fax (217) 238-4951

Mailing address

1005 Health Center Dr Ste 201
Mattoon, IL 61938-4653

Other practice locations

415 N Cedar St, Shelbyville, IL 62565-1245 · (217) 238-4960

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	209022108 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1104427293

Katie Michelle O'Halloran, FNP-BC's National Provider Identifier is 1104427293, issued on Nov 4, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mattoon, IL. The record was last updated on Sep 28, 2026.