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NPI 1417573734

NPI 1417573734 : SCHERRIE LYNN MCLASKEY FNP-C : MOUNT VERNON, IL

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General NPI Number Information
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    NPI Number           |    1417573734
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    Entity Type          |    Individual 
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    Provider Name        |    SCHERRIE LYNN MCLASKEY FNP-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/23/2020
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    Last Update Date     |    03/24/2025
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Provider Practice Location Address
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    Address Line         |    4119 S WATER TOWER PL STE A 
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    City                 |    MOUNT VERNON
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    State                |    IL
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    Zip                  |    62864-6293
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    Country              |    US
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    Telephone            |    618-816-6006
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    Fax                  |    618-816-6005
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Provider Business Mailing Address
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    Address Line         |    16 ANDREW DR 
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    City                 |    CENTRALIA
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    State                |    IL
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    Zip                  |    62801-6288
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    Country              |    US
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    Telephone            |    618-204-8003
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    209021515
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    License Number State |    IL
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Taxonomy #2
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    Taxonomy Code        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    041.343075
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    License Number State |    IL
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