Individual provider · Type 1 NPI

Katelyn Bannon, CNP

Nurse Practitioner · Urbana, IL

NPI number 1912653775 Active

Practice location

611 W Park St
Urbana, IL 61801-2529

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209023710 (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 1912653775

Katelyn Bannon, CNP's National Provider Identifier is 1912653775, issued on Mar 1, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Urbana, IL. The record was last updated on Mar 1, 2022.