person
Kelli Lynn Blagg, FNPAPN
Family Nurse Practitioner in Mattoon, Illinois
NPI 1679676738

Kelli Lynn Blagg is a Family Nurse Practitioner based in Waterloo, IL and is specialized in Family. Kelli Lynn Blagg practices in Mattoon, IL and has the professional credentials of FNPAPN. The NPI Number for Kelli Lynn Blagg is 1679676738 and holds a License No. 209005102 (Illinois).

The current practice location address for Kelli Lynn Blagg is 10555 East County Road 800 N, Mattoon, IL and can be reached out via phone at 217-235-4227 and via fax at 217-235-4274. You can also correspond with Kelli Lynn Blagg through the mailing address at 509 HAMACHER ST 205, WATERLOO, IL - 62298-1592 (mailing address contact number: 618-628-0715).

Location: 10555 East County Road 800 N, Mattoon, IL, 62298-1592
person
Provider Profile Details
NPI Number
1679676738
Provider Name
Kelli Lynn Blagg
Credential
FNPAPN
Provider Entity Type
Individual
Gender
Female
Address
10555 East County Road 800 N, Mattoon, IL, 62298-1592
Phone Number
217-235-4227
Fax Number
217-235-4274
Provider Enumeration Date
09/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00322001 01 IL RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
10555 East County Road 800 N
City
State
Zip
61938-3574
Phone Number
217-235-4227
Fax Number
217-235-4274
person
Provider Business Mailing Address Details
Address
10555 East County Road 800 N
City
State
Zip
61938-3574
Phone Number
217-235-4227
Fax Number
217-235-4274
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209005102 (Illinois)
Definition
Definition to come...
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