Individual
DEBORAH JEAN SHEARER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
281 MAPLE AVE, GALESBURG, IL 61401-3556
(309) 297-9860
Mailing address
281 MAPLE AVE, GALESBURG, IL 61401-3556
(309) 297-9860
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
041251570
IL
363LA2100X
Acute Care Nurse Practitioner
Primary
209020674
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041251570
ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
01
—
209020674
ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
Enumeration date
02/07/2020
Last updated
02/07/2020
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