Individual provider · Type 1 NPI

Charlene Shallow, N.P.

Nurse Practitioner · Springfield, IL

NPI number 1295819688 Active

Practice location

747 N Rutledge St Fl 4
Springfield, IL 62702-6700

Call (217) 545-8000 Map

Mailing address

201 E Madison St Ste 328
Springfield, IL 62702-5131

Other practice locations

619 E Mason St Ste 4P57, Springfield, IL 62701-1034 · (217) 788-0706
409 W Oak St, Carbondale, IL 62901-1464 · (618) 529-4455
3905 W Ernestine Dr, Marion, IL 62959-5800 · (618) 529-4455
217 S Park Ave Ste 2, Herrin, IL 62948-3611 · (618) 529-4455

Specialties and licenses

Taxonomy	Code	License
Interventional Cardiology Physician	207RI0011X	277.001220 (IL)
Interventional Cardiology Physician	207RI0011X	209.005660 (IL)
Nurse Practitioner	363L00000X	209005660 (IL)
Family Nurse Practitioner	363LF0000X	277.001220 (IL)
Family Nurse Practitioner	363LF0000X	209-005660 (IL)
Nurse Practitioner Primary	363L00000X	277.001220 (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…

23 other providers at this address

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About NPI 1295819688

Charlene Shallow, N.P.'s National Provider Identifier is 1295819688, issued on Oct 24, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Springfield, IL. The record was last updated on Feb 3, 2022.