Individual provider · Type 1 NPI

Deborah Mofoluwa Marshall

Family Nurse Practitioner · Kankakee, IL

NPI number 1336809326 Active

Practice location

500 W Court St
Kankakee, IL 60901-3661

Fax (815) 928-6211

Mailing address

1085 Mallard Dr
Bradley, IL 60915-1319

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209.024576 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1336809326

Deborah Mofoluwa Marshall's National Provider Identifier is 1336809326, issued on Dec 18, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Kankakee, IL. The record was last updated on Aug 29, 2023.