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Charlene Shallow, NP
Nurse Practitioner in Springfield, Illinois
NPI 1295819688

Charlene Shallow is a Nurse Practitioner based in Springfield, IL. Charlene Shallow practices in Springfield, IL and has the professional credentials of NP. The NPI Number for Charlene Shallow is 1295819688 and holds a License No. 277.001220 (Illinois).

The current practice location address for Charlene Shallow is 747 N Rutledge St Fl 4, Springfield, IL and can be reached out via phone at 217-545-8000.

Location: 747 N Rutledge St Fl 4, Springfield, IL, 62702-5131
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295819688
Provider Name
Charlene Shallow
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
747 N Rutledge St Fl 4, Springfield, IL, 62702-5131
Phone Number
217-545-8000
Fax Number
Provider Enumeration Date
10/24/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
747 N Rutledge St Fl 4
City
Springfield
State
Illinois
Zip
62702-6700
Phone Number
217-545-8000
Fax Number
person
Provider Business Mailing Address Details
Address
747 N Rutledge St Fl 4
City
Springfield
State
Illinois
Zip
62702-6700
Phone Number
217-545-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Interventional Cardiology
Taxonomy
207RI0011X
License No.
209005660 (Illinois)
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
209.005660 (Illinois)
Definition
(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
277.001220 (Illinois)
Definition
Definition to come...
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