Individual
PENELOPE SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1005 HEALTH CENTER DR STE 102, MATTOON, IL 61938-4693
(217) 258-4042
(217) 258-4053
Mailing address
PO BOX 372, MATTOON, IL 61938-0372
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209012444
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
209-012444
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
277003886
IL
Other
Enumeration date
01/22/2015
Last updated
07/23/2025
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