Individual provider · Type 1 NPI

Kelly M. Cole, APN

Nurse Practitioner · Peoria, IL

NPI number 1508978263 Active

Practice location

10326 N Juliet Ct Ste A
Peoria, IL 61615-1116

Fax (309) 570-1017

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	277002673 (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…

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About NPI 1508978263

Kelly M. Cole, APN's National Provider Identifier is 1508978263, issued on Aug 31, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Peoria, IL. The record was last updated on Oct 27, 2023.