Individual provider · Type 1 NPI

Shannon D. Walle, FNP-BC

Family Nurse Practitioner · Springfield, IL

NPI number 1649883992 Active

Practice location

800 N 1st St
Springfield, IL 62702-3778

Call (217) 528-7541 Map

Mailing address

PO Box 19248
Springfield, IL 62794-9248

Other practice locations

3131 N Water St, Decatur, IL 62526-2472 · (217) 876-5320

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	209021729 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1649883992

Shannon D. Walle, FNP-BC's National Provider Identifier is 1649883992, issued on Aug 26, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Springfield, IL. The record was last updated on Nov 8, 2024.