Individual
COURTNEY HARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
420 NE GLEN OAK AVE STE 401, PEORIA, IL 61603
(309) 676-8123
(309) 676-8455
Mailing address
420 NE GLEN OAK AVE, STE 401, PEORIA, IL 61603-3168
(815) 526-2497
(309) 676-8455
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209014711
IL
363LF0000X
Family Nurse Practitioner
209014711
IL
Other
Enumeration date
08/19/2016
Last updated
12/22/2025
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