Individual provider · Type 1 NPI

Nicole Christine Snodgrass, PA-C

Physician Assistant · Bloomington, IL

NPI number 1316582273 Active

Practice location

1111 Trinity Ln Ste 111
Bloomington, IL 61704-8112

Fax (309) 663-4529

Mailing address

611 W Park St
Urbana, IL 61801-2501

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085007349 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1316582273

Nicole Christine Snodgrass, PA-C's National Provider Identifier is 1316582273, issued on Nov 14, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Bloomington, IL. The record was last updated on Sep 18, 2025.