Individual provider · Type 1 NPI
Courtney Sanders
Nurse Practitioner · Mount Vernon, IL
Practice location
3120 Veterans Memorial Dr
Mount Vernon, IL 62864-5951
Mailing address
1307 E Mccord St
Centralia, IL 62801-3610
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 209036599 (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 1104738814
Courtney Sanders's National Provider Identifier is 1104738814, issued on Sep 18, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Mount Vernon, IL. The record was last updated on Sep 18, 2026.