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Collaborative Medical Pllc
Nurse Practitioner in Jacksonville, Illinois
NPI 1891494738

Collaborative Medical Pllc is a Nurse Practitioner based in Jacksonville, IL. Collaborative Medical Pllc practices in Jacksonville, IL. The NPI Number for Collaborative Medical Pllc is 1891494738 and holds a License No. (Illinois).

The current practice location address for Collaborative Medical Pllc is 1515 W Walnut St Ste 6, Jacksonville, IL and can be reached out via phone at 217-243-5313 and via fax at 217-243-7608.

Location: 1515 W Walnut St Ste 6, Jacksonville, IL, 62650-1157
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891494738
Provider Name
Collaborative Medical Pllc
Credential
Provider Entity Type
Organization
Address
1515 W Walnut St Ste 6, Jacksonville, IL, 62650-1157
Phone Number
217-243-5313
Fax Number
217-243-7608
Provider Enumeration Date
02/28/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1515 W Walnut St Ste 6
City
Jacksonville
State
Illinois
Zip
62650-1157
Phone Number
217-243-5313
Fax Number
217-243-7608
person
Provider Business Mailing Address Details
Address
1515 W Walnut St Ste 6
City
Jacksonville
State
Illinois
Zip
62650-1157
Phone Number
217-243-5313
Fax Number
217-243-7608
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Pain
Taxonomy
261QP3300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
()
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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