Individual provider · Type 1 NPI

Shronda Ann Phillips, APN

Nurse Practitioner · Peoria, IL

NPI number 1780231969 Active

Practice location

3525 N University St
Peoria, IL 61604-1324

Mailing address

PO Box 9727
Peoria, IL 61612-9727

Other practice locations

  • Pontiac Correctional Center, 700 W. Lincoln Street, Pontiac, IL 61734 · (815) 842-2816

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209018934 (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 1780231969

Shronda Ann Phillips, APN's National Provider Identifier is 1780231969, issued on Aug 21, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Peoria, IL. The record was last updated on Jan 10, 2024.