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Passavant Physician Association
Adult Health Nurse Practitioner in Jacksonville, Illinois
NPI 1841578507

Passavant Physician Association is an Adult Health Nurse Practitioner based in Jacksonville, IL and is specialized in Adult Health. Passavant Physician Association practices in Jacksonville, IL. The NPI Number for Passavant Physician Association is 1841578507 and holds a License No. 036098965 (Illinois).

The current practice location address for Passavant Physician Association is 1600 W Walnut St, Jacksonville, IL and can be reached out via phone at 217-245-9541.

Location: 1600 W Walnut St, Jacksonville, IL, 62650-1136
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841578507
Provider Name
Passavant Physician Association
Credential
Provider Entity Type
Organization
Address
1600 W Walnut St, Jacksonville, IL, 62650-1136
Phone Number
217-245-9541
Fax Number
Provider Enumeration Date
07/29/2011
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
1600 W Walnut St
City
Jacksonville
State
Illinois
Zip
62650-1136
Phone Number
217-245-9541
Fax Number
person
Provider Business Mailing Address Details
Address
1600 W Walnut St
City
Jacksonville
State
Illinois
Zip
62650-1136
Phone Number
217-245-9541
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
209007563 (Illinois)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
036098965 (Illinois)
Definition
Definition to come...
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