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NPI Code Detail

MEDICARE: DARYN JORDAN HANDLIN APRN

MEDICARE: DARYN JORDAN HANDLIN APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner209033960IL
2363LF0000XFamily Nurse Practitioner209.033960IL

General Provider Information

NPI Number : 1356204820
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARYN JORDAN HANDLIN APRN
Provider Business Mailing Address
First Line : 200 S CEDAR ST
Second Line :
City : SHELBYVILLE
State : IL
Zip : 62565-1838
Country : US
Telephone Number : 217-774-4400
Fax Number :
Provider Business Practice Location Address
First Line : 200 S CEDAR ST
Second Line :
City : SHELBYVILLE
State : IL
Zip : 62565-1838
Country : US
Telephone Number : 217-774-4400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2025
Last Update Date : 04/09/2026

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