KRYSTAL DARNELL PERDUE NP NPI 1205532041

NPI Information

NPI: 1205532041
Provider Name: KRYSTAL DARNELL PERDUE, NP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
1001 MAIN ST STE 500A
PEORIA, IL
ZIP 61606
Phone: (309) 495-1121
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Krystal Darnell Perdue, NP is an acute care nurse practitioner in Peoria, IL. Krystal Darnell Perdue, NP NPI is 1205532041. 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:

1001 MAIN ST STE 500A
PEORIA, IL
ZIP 61606-038
Phone: (309) 495-1121

The NPI 1205532041 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 2/2/2023 and was last updated on 2/5/2023.

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	363LA2100X	Nurse Practitioner	Acute Care	209.026009	ILLINOIS	Yes

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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