Individual provider · Type 1 NPI

Mary Jane Shane-Cox, NP

Family Nurse Practitioner · Peoria, IL

NPI number 1881709566 Active

Practice location

411 Hamilton Blvd, Suite 1824
Peoria, IL 61602-1144

Mailing address

10335 N Port Washington Rd, 250
Mequon, WI 53092-5763

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNone listed

Family Nurse Practitioner: Definition to come...

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About NPI 1881709566

Mary Jane Shane-Cox, NP's National Provider Identifier is 1881709566, issued on Aug 20, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Peoria, IL. The record was last updated on Jul 8, 2007.