DEBORAH JEAN SHEARER NPI 1356973440

NPI Information

NPI: 1356973440
Provider Name: DEBORAH JEAN SHEARER
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Address:
281 MAPLE AVE
GALESBURG, IL
ZIP 61401
Phone: (309) 297-9860
Get Directions

Deborah Jean Shearer is an acute care nurse practitioner in Galesburg, IL. Deborah Jean Shearer NPI is 1356973440. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

281 MAPLE AVE
GALESBURG, IL
ZIP 61401-556
Phone: (309) 297-9860

The enumeration date for this NPI number is 2/7/2020 and was last updated on 2/7/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WC0200X	Registered Nurse	Critical Care Medicine	041251570	ILLINOIS	No
2	363LA2100X	Nurse Practitioner	Acute Care	209020674	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	209020674	OTHER	ILLINOIS	ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
2	041251570	OTHER	ILLINOIS	ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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