person
Nicole Marie Lord, FNP-BC
Family Nurse Practitioner in Decatur, Illinois
NPI 1013319623

Nicole Marie Lord is a Family Nurse Practitioner based in Decatur, IL and is specialized in Family. Nicole Marie Lord practices in Decatur, IL and has the professional credentials of FNP-BC. The NPI Number for Nicole Marie Lord is 1013319623 and holds a License No. 209011928 (Illinois).

The current practice location address for Nicole Marie Lord is 1770 E Lake Shore Dr, Decatur, IL and can be reached out via phone at 217-422-9740. You can also correspond with Nicole Marie Lord through the mailing address at 1770 E LAKE SHORE DR, DECATUR, IL - 62521-3832 (mailing address contact number: 217-422-9740).

Location: 1770 E Lake Shore Dr, Decatur, IL, 62521-3832
person
Provider Profile Details
NPI Number
1013319623
Provider Name
Nicole Marie Lord
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
1770 E Lake Shore Dr, Decatur, IL, 62521-3832
Phone Number
217-422-9740
Fax Number
Provider Enumeration Date
09/25/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1770 E Lake Shore Dr
City
State
Zip
62521-3832
Phone Number
217-422-9740
Fax Number
person
Provider Business Mailing Address Details
Address
1770 E Lake Shore Dr
City
State
Zip
62521-3832
Phone Number
217-422-9740
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209011928 (Illinois)
Definition
Definition to come...
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