Individual provider · Type 1 NPI

Kerby Scanlan, APRN

Nurse Practitioner · Springfield, IL

NPI number 1174498695 Active

Practice location

400 N 9th St, 2nd Floor, Clinic 2A
Springfield, IL 62702-5310

Mailing address

PO Box 19639
Springfield, IL 62794-9639

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209.032326 (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 1174498695

Kerby Scanlan, APRN's National Provider Identifier is 1174498695, issued on Oct 6, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Springfield, IL. The record was last updated on Feb 13, 2026.