Individual
KELLI C. FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
701 N 1ST ST, SPRINGFIELD, IL 62781-0001
(217) 528-7541
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209009495
IL
Other
Enumeration date
07/17/2012
Last updated
07/01/2020
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