Marcy Fegett, R.N.
Individual provider Active NPI Registered Nurse · Georgetown, IL
NPI 1396139481 · NPPES record last updated Mar 26, 2015
Key facts
- NPI
- 1396139481
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 28203540A (IN)
- Practice address
- 319 Stone St
Georgetown, IL 61846-1659 - Phone
- (217) 304-9378
- NPI assigned
- Mar 26, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28203540A | IN | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28203540A | IN | Yes |
Addresses
Primary practice location
319 Stone St
Georgetown, IL 61846-1659
Mailing address
319 Stone St
Georgetown, IL 61846-1659
Phone (217) 304-9378
Other providers in Georgetown, IL
- Family Practice Medical Center LTD
- Fusion of Wellness: Body, Mind, and Soul, LLC.
- Georgetown Fire Protection District Ambulance Service
- Georgetown Ridge Farm 4
- Laura E Melecosky-Zachman
- Kimberly Payne
All providers in Georgetown, IL · Registered Nurse in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2015. 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.