Individual provider · Type 1 NPI
Krystal Shanklin
Family Nurse Practitioner · Berwyn, IL
NPI number
1336852805
Active
Practice location
7102 Cermak Rd Spc C2
Berwyn, IL 60402-2114
Mailing address
Krystal Shanklin, PO Box 1026
Plainfield, IL 60544
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209.026486 (IL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1336852805
Krystal Shanklin's National Provider Identifier is 1336852805, issued on Dec 29, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Berwyn, IL. The record was last updated on Dec 29, 2022.