Individual
MICHELLE LEE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8940 N WOOD SAGE RD, PEORIA, IL 61615-7822
(309) 243-3000
(309) 243-3039
Mailing address
8940 N WOOD SAGE RD, PEORIA, IL 61615-7822
(309) 243-3000
(309) 243-3039
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209024729
IL
363LF0000X
Family Nurse Practitioner
2021039311
IL
Other
Enumeration date
10/12/2021
Last updated
03/02/2026
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