Sheri Lynne Banovic, FNP
Individual provider Active NPI Family Nurse Practitioner · Gillespie, IL
NPI 1376765206 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1376765206
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- Practice address
- 115 South Macoupin Street
Gillespie, IL 62033 - Phone
- (217) 839-1526
- NPI assigned
- May 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209000293 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Macoupin County Public Health Department | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | IL | Yes |
Addresses
Primary practice location
115 South Macoupin Street
Gillespie, IL 62033
Mailing address
520 East Leonard
Staunton, IL 62088-1235
Phone (618) 468-4433
Other providers in Gillespie, IL
- Ageless RX Systems LLC
- Ageless RX Systems LLC
- Terry Allan
- Jonathan Anderson
- Melinda Beisner
- Esha Bhatt
- Ashley Renee Brown
- Carol Candler
- Sandra L Cania
All providers in Gillespie, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.