| Doctor Name: | MRS. PATRICIA E CARR |
| NPI Number: | 1104822568 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 209003187 |
| Business Practice Address: | 1220 W Jackson St Sullivan, IL - 619511032 |
| Business Phone Number: | 2177282042 |
| Business Fax Number: | 2177282485 |
| Mailing Address: | 2300 N Edward St, Gsbll DECATUR |
| State: | IL |
| Postal Code: | 625264163 |
| Phone Number: | 2178762857 |
| Fax Number: | 2178762874 |
| NPI Enumeration Date: | 06/21/2005 |
| NPI Last Update Date: | 09/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 209003187 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |