| Doctor Name: | MS. VICKY L SHEEHAN |
| NPI Number: | 1003830050 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | |
| Business Practice Address: | 2401 W Main St Marion, IL - 629591188 |
| Business Phone Number: | 6189975311 |
| Business Fax Number: | 6189934181 |
| Mailing Address: | 4167 Baptist Camp Rd, CARTERVILLE |
| State: | IL |
| Postal Code: | 629182410 |
| Phone Number: | 6189858942 |
| Fax Number: | 6189858942 |
| NPI Enumeration Date: | 07/26/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |