Organization · Type 2 NPI

Deaconess Illinois Specialty Clinic, Inc.

Nurse Practitioner · Harrisburg, IL

NPI number 1851008338 Active

Practice location

716 S Commercial St
Harrisburg, IL 62946-2346

Fax (618) 294-8238

Mailing address

PO Box 34266
Belfast, ME 04915-0620

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Physician Assistant 363A00000XNone listed
Nurse Practitioner Primary 363L00000XNone listed

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…

4 other providers at this address

About NPI 1851008338

Deaconess Illinois Specialty Clinic, Inc.'s National Provider Identifier is 1851008338, issued on Nov 3, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Harrisburg, IL. The record was last updated on Jan 26, 2023.