Individual provider · Type 1 NPI

Kelly J. Slade, N.P.

Nurse Practitioner · Decatur, IL

NPI number 1306240767 Active

Practice location

176 W Mound Rd
Decatur, IL 62526-1964

Fax (217) 391-8731

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209.011917 (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 1306240767

Kelly J. Slade, N.P.'s National Provider Identifier is 1306240767, issued on Oct 14, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Decatur, IL. The record was last updated on Nov 1, 2019.