Tiffany Ann Shinnick, | |
1650 Midtown Rd, Peru, IL 61354-1200 | |
(815) 220-2645 | |
Not Available |
Full Name | Tiffany Ann Shinnick |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1650 Midtown Rd, Peru, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003388463 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209018490 (Illinois) | Primary |
Entity Name | Mendota Community Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407872997 PECOS PAC ID: 2264335777 Enrollment ID: O20040131000102 |
Mailing Address | Practice Location Address |
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Tiffany Ann Shinnick, 1650 Midtown Rd, Peru, IL 61354-1200 Ph: () - | Tiffany Ann Shinnick, 1650 Midtown Rd, Peru, IL 61354-1200 Ph: (815) 220-2645 |
Shannon Lynn Whitley, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1650 Midtown Rd, Peru, IL 61354 Phone: 815-223-6843 | |
Melissa Elvira Ramirez, MSN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1650 Midtown Rd, Peru, IL 61354 Phone: 815-223-6843 | |
Mrs. Candace R Ramirez, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1650 Midtown Road, Peru, IL 61354 Phone: 815-538-1351 | |
Jennifer Marie Dowding, APRN, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1403 6th St, Peru, IL 61354 Phone: 309-308-5072 | |
Keith Christensen, APN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1650 Midtown Rd, Peru, IL 61354 Phone: 815-664-5311 | |
Debra Herz, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1650 Midtown Rd, Peru, IL 61354 Phone: 815-223-2808 Fax: 815-220-2691 |