person
Shannon D Walle, FNP-BC
Family Nurse Practitioner in Decatur, Illinois
NPI 1649883992

Shannon D Walle is a Family Nurse Practitioner based in Springfield, IL and is specialized in Family. Shannon D Walle practices in Decatur, IL and has the professional credentials of FNP-BC. The NPI Number for Shannon D Walle is 1649883992 and holds a License No. 209021729 (Illinois).

The current practice location address for Shannon D Walle is 3131 N Water St, Decatur, IL and can be reached out via phone at 217-876-5320 and via fax at 217-876-5865. You can also correspond with Shannon D Walle through the mailing address at PO BOX 3428, SPRINGFIELD, IL - 62708-3428 (mailing address contact number: 217-588-2624).

Location: 3131 N Water St, Decatur, IL, 62708-3428
person
Provider Profile Details
NPI Number
1649883992
Provider Name
Shannon D Walle
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
3131 N Water St, Decatur, IL, 62708-3428
Phone Number
217-876-5320
Fax Number
217-876-5865
Provider Enumeration Date
08/26/2020
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
041430890 01 IL RN LICENSE
institution
Provider Business Practice Location Address Details
Address
3131 N Water St
City
State
Zip
62526-2472
Phone Number
217-876-5320
Fax Number
217-876-5865
person
Provider Business Mailing Address Details
Address
3131 N Water St
City
State
Zip
62526-2472
Phone Number
217-876-5320
Fax Number
217-876-5865
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209021729 (Illinois)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.