Individual provider · Type 1 NPI
Carly Kirk, FNP-C
Nurse Practitioner · Normal, IL
Practice location
1730 Bradford Ln
Normal, IL 61761-1297
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 209036854 (IL) |
| Registered Nurse | 163W00000X | 041491491 (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…
2 other providers at this address
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About NPI 1467361865
Carly Kirk, FNP-C's National Provider Identifier is 1467361865, issued on Sep 2, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Normal, IL. The record was last updated on Oct 30, 2026.