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NPI Code Detail

MEDICARE: CARA MARIE CRAIN FNP-C

MEDICARE: CARA MARIE CRAIN FNP-C
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
1363LF0000XFamily Nurse Practitioner209026224IL
2163W00000XRegistered Nurse041420857IL

General Provider Information

NPI Number : 1568184976
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARA MARIE CRAIN FNP-C
Provider Business Mailing Address
First Line : PO BOX 19248
Second Line :
City : SPRINGFIELD
State : IL
Zip : 62794-9248
Country : US
Telephone Number : 217-528-7541
Fax Number :
Provider Business Practice Location Address
First Line : 15 FOUNDERS LN
Second Line :
City : JACKSONVILLE
State : IL
Zip : 62650-3919
Country : US
Telephone Number : 217-291-1041
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2022
Last Update Date : 12/16/2025

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Directions to “ CARA MARIE CRAIN FNP-C” Practice Location

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