Doctor Name: | JANIS M SEARS |
NPI Number: | 1003982604 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN-C |
License Number: | 209-002397 |
Business Practice Address: | 7717 N Orange Prairie Rd Peoria, IL - 616159323 |
Business Phone Number: | 3095896800 |
Business Fax Number: | 3095896986 |
Mailing Address: | 7717 N Orange Prairie Rd, PEORIA |
State: | IL |
Postal Code: | 616159323 |
Phone Number: | 3095896800 |
Fax Number: | 3095896986 |
NPI Enumeration Date: | 11/27/2006 |
NPI Last Update Date: | 04/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 209-002397 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |