MRS. KELLI EAGAN APRN-FNP-C - NPI 1164023644 - Nurse Practitioner in Hannibal, MO

Q: What is Kelli Eagan's NPI number?

The NPI number for Kelli Eagan is 1164023644. It was assigned to this individual provider in the NPPES registry on November 2, 2020.

Q: What is Kelli Eagan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kelli Eagan was last updated on November 2, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About Mrs. Kelli Eagan Aprn-fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KELLI EAGAN APRN-FNP-C (NPI 1164023644) is an individual family provider in Hannibal, Missouri, licensed in Missouri (2020017362) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1164023644

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. KELLI EAGANCredential: APRN-FNP-C

Location Address100 MEDICAL DRHannibal, MO 63401-6877

Mailing Address5076 Highway UPalmyra, MO 63461-3228 · (573) 231-2327

Phone(573) 221-5250

Sole ProprietorNo

Enumeration DateNovember 2, 2020

NPPES CertifiedNovember 2, 2020

✔ NPI 1164023644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MO · 2020017362

100 MEDICAL DR, Hannibal, MO 63401

Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BLESSING HOSPITAL

Pharmacy (Community/Retail Pharmacy)