Individual provider · Type 1 NPI

Chancie Warren, PMHNP

Nurse Practitioner · Effingham, IL

NPI number 1104636539 Active

Practice location

900 W Temple Ave Ste 1500
Effingham, IL 62401-2121

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	209031536 (IL)
Registered Nurse	163W00000X	041417657 (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 1104636539

Chancie Warren, PMHNP's National Provider Identifier is 1104636539, issued on Jan 8, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Effingham, IL. The record was last updated on Mar 5, 2025.