Individual
KRYSTAL DARNELL PERDUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1001 MAIN ST STE 500A, PEORIA, IL 61606-2038
(309) 495-1121
Mailing address
2376 KNOX ROAD 900 N, ELMWOOD, IL 61529-9355
(309) 231-5326
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209.026009
IL
Other
Enumeration date
02/02/2023
Last updated
02/05/2023
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