LUCILLE ELIZABETH SMALLHORN FNP-C NPI 1063289478

NPI Information

  • NPI: 1063289478
  • Provider Name: LUCILLE ELIZABETH SMALLHORN, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 516 W MADISON ST
    DANVILLE, IL
    ZIP 61832
  • Phone: (217) 962-1892

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NPI Details

Lucille Elizabeth Smallhorn, FNP-C is a family nurse practitioner in Danville, IL. Lucille Elizabeth Smallhorn, FNP-C NPI is 1063289478. 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:

516 W MADISON ST
DANVILLE, IL
ZIP 61832-657
Phone: (217) 962-1892

The NPI 1063289478 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/6/2023 and was last updated on 3/5/2024.

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
1207Q00000XFamily Medicine209.028680ILLINOISNo
2363LF0000XNurse PractitionerFamily209028680ILLINOISYes

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: 11/21/2025

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