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Adam Waller, NP
Nurse Practitioner in West Frankfort, Illinois
NPI 1508476615

Adam Waller is a Nurse Practitioner based in Carbondale, IL. Adam Waller practices in West Frankfort, IL and has the professional credentials of NP. The NPI Number for Adam Waller is 1508476615 and holds a License No. 209021745 (Illinois).

The current practice location address for Adam Waller is 502 W Saint Louis St Ste 4, West Frankfort, IL and can be reached out via phone at 618-937-3400 and via fax at 618-997-9324. You can also correspond with Adam Waller through the mailing address at PO BOX 3988, CARBONDALE, IL - 62902-3988 (mailing address contact number: 618-937-3400).

Location: 502 W Saint Louis St Ste 4, West Frankfort, IL, 62902-3988
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508476615
Provider Name
Adam Waller
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
502 W Saint Louis St Ste 4, West Frankfort, IL, 62902-3988
Phone Number
618-937-3400
Fax Number
618-997-9324
Provider Enumeration Date
08/04/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
502 W Saint Louis St Ste 4
City
West Frankfort
State
Illinois
Zip
62896-1968
Phone Number
618-937-3400
Fax Number
618-997-9324
person
Provider Business Mailing Address Details
Address
502 W Saint Louis St Ste 4
City
West Frankfort
State
Illinois
Zip
62896-1968
Phone Number
618-937-3400
Fax Number
618-997-9324
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
209021745 (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.
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