Individual
KERRI JEAN SCHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
133 SPINDER DR, EAST PEORIA, IL 61611-0016
(309) 308-5100
(309) 308-5102
Mailing address
PO BOX 960347, OKLAHOMA CITY, OK 73196-0347
(309) 672-5522
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209-014593
IL
Other
Enumeration date
08/12/2016
Last updated
11/30/2019
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