Individual provider · Type 1 NPI

Kelli Lynn Blagg, FNP APN

Family Nurse Practitioner · Mattoon, IL

NPI number 1679676738 Active

Practice location

10555 East County Road 800 N
Mattoon, IL 61938-3574

Call (217) 235-4227 Map

Fax (217) 235-4274

Mailing address

509 Hamacher St 205
Waterloo, IL 62298-1592

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209005102 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1679676738

Kelli Lynn Blagg, FNP APN's National Provider Identifier is 1679676738, issued on Sep 6, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mattoon, IL. The record was last updated on Sep 18, 2015.