Individual provider · Type 1 NPI

Kerry Lynn Pitchford, APRN, FNP-BC

Nurse Practitioner · Mount Vernon, IL

NPI number 1205455763 Active

Practice location

602 S 42nd St
Mount Vernon, IL 62864-6264

Mailing address

PO Box 955860
St. Louis, MO 63195-9537

Other practice locations

  • 1491 Burge Rd, Centralia, IL 62801-9537 · (618) 267-9616

Specialties and licenses

TaxonomyCodeLicense
Emergency Registered Nurse 163WE0003X041378652 (IL)
Family Nurse Practitioner 363LF0000X209021133 (IL)
Nurse Practitioner Primary 363L00000X209021133 (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…

6 other providers at this address

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About NPI 1205455763

Kerry Lynn Pitchford, APRN, FNP-BC's National Provider Identifier is 1205455763, issued on Apr 14, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Mount Vernon, IL. The record was last updated on Aug 4, 2025.