Individual
MRS. NICOLE TAYLOR BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-C
Contact information
Practice address
8600 IL-91, PEORIA, IL 61615
(309) 683-5050
Mailing address
8600 IL-91 STE 130, PEORIA, IL 61615
(309) 683-5050
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209027435
IL
Other
Enumeration date
06/21/2023
Last updated
11/12/2024
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