Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHY JEAN STARK, AGPCNP-BC
ActiveKATHY JEAN STARK, AGPCNP-BC is a Gerontological Nurse Practitioner healthcare provider located in SPRINGFIELD, Illinois. NPI 1457704025 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · SPRINGFIELD, IL
Registration Details
- NPI Number
- 1457704025
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 19, 2016 (10.040891795453 yrs)
- Last Updated
- Dec 7, 2020
- Licenses
-
209014267 (IL)209014267 (IL)
Practice Information
- Address
-
747 N RUTLEDGE ST5TH FLOORSPRINGFIELD, IL, 627026700Browse IL providers · Browse ZIP 62702
- Phone
- 2175458000
- Fax
- 2175457063
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
- Additional Specialty
- Adult Health Nurse Practitioner
Other Gerontological Nurse Practitioner Providers in SPRINGFIELD, IL
| Name | Credential | NPI |
|---|---|---|
| MS. ANITA D. SCHWAB | AGACNP | 1376977371 |
| NICOLE LYNN ATWOOD | AGACNP | 1811322209 |
| AMY DURAKO | AGACNP-BC | 1871987750 |
| ANDREA PETERS | AGPCNP-C | 1902356835 |
| MEGAN D SIEGRIST | AGNP-C | 1992227417 |
| KATHERINE L SARSFIELD | AGCPNP-C | 1154831303 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.