IndividualActive
Cristen Mckibben, FNP-C
NPI 1174304158 · Nurse Practitioner · Anna, IL
Provider details
- NPI number
- 1174304158
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 2023039401 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
98 Peach Ridge Rd
Anna, IL 62906-2243
Phone: (618) 614-1400
Fax: (618) 614-1401
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3988
Carbondale, IL 62902-3988
Additional practice locations (4)
- 2601 W Main StCarbondale, IL 62901-1031Phone: (618) 549-5361
- 117 E Clark StHarrisburg, IL 62946-2702Phone: (618) 252-8625
- 405 Rushing DrHerrin, IL 62948-3730Phone: (618) 993-3300
- 502 W Saint Louis StWest Frankfort, IL 62896-1968Phone: (618) 937-3400
Registry dates
- Enumerated
- 2023-10-06
- Last updated
- 2026-02-04
- Certified
- 2026-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.