Organization · Type 2 NPI
Prime Medical Services, LLC
Gerontology Nurse Practitioner · Bloomington, IL
NPI number
1306396148
Active
Practice location
115 W Jefferson St, Suite 401
Bloomington, IL 61701-3946
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | None listed |
Gerontology Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1306396148
Prime Medical Services, LLC's National Provider Identifier is 1306396148, issued on Oct 5, 2016. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Bloomington, IL. The record was last updated on Sep 16, 2026.