IndividualActive
Patricia Carr, FNP
NPI 1104822568 · Family Nurse Practitioner · Sullivan, IL
Provider details
- NPI number
- 1104822568
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- License
- 209003187 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1220 W Jackson St
Sullivan, IL 61951-1032
Phone: (217) 728-2042
Fax: (217) 728-2485
Approximate (ZIP-level) locationGet directions
Mailing address
2300 N Edward St
Decatur, IL 62526-4163
Registry dates
- Enumerated
- 2005-06-21
- Last updated
- 2014-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.