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Mrs. Kendra Lynn Sullivan, FNP-BC
Family Nurse Practitioner in Chatham, Illinois
NPI 1780045526

Kendra Lynn Sullivan is a Family Nurse Practitioner based in Chatham, IL and is specialized in Family. Kendra Lynn Sullivan practices in Chatham, IL and has the professional credentials of FNP-BC. The NPI Number for Kendra Lynn Sullivan is 1780045526 and holds a License No. 209013990 (Illinois).

The current practice location address for Kendra Lynn Sullivan is 101 E Plummer Blvd, Chatham, IL and can be reached out via phone at 217-483-3487.

Location: 101 E Plummer Blvd, Chatham, IL, 62629-8047
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780045526
Provider Name
Kendra Lynn Sullivan
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
101 E Plummer Blvd, Chatham, IL, 62629-8047
Phone Number
217-483-3487
Fax Number
Provider Enumeration Date
03/07/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
101 E Plummer Blvd
City
Chatham
State
Illinois
Zip
62629-8047
Phone Number
217-483-3487
Fax Number
person
Provider Business Mailing Address Details
Address
101 E Plummer Blvd
City
Chatham
State
Illinois
Zip
62629-8047
Phone Number
217-483-3487
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209013990 (Illinois)
Definition
Definition to come...
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