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SHANNON KUNKLE APRN
NPI 1679188940
Nurse Practitioner - Family in Morton, IL

Active since September 13, 2020
825 W JACKSON ST, MORTON, IL 61550(309) 291-0469(309) 291-0467 Get Directions Write a Review

NPPES record last updated: December 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 23, 2024, Jun 17, 2024, Feb 5, 2023 and 1 more (4 updates tracked since 2020).

About Shannon Kunkle Aprn NPPES

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

SHANNON KUNKLE APRN (NPI 1679188940) is an individual family provider in Morton, Illinois, licensed in Illinois (209.020100) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1679188940
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHANNON KUNKLECredential: APRN
Location Address825 W JACKSON STMorton, IL 61550-1569
Mailing Address825 W Jackson StMorton, IL 61550-1569 · (309) 291-0469 · Fax (309) 291-0467
Phone(309) 291-0469
Fax(309) 291-0467
Sole ProprietorNo
Enumeration DateSeptember 13, 2020
Last NPPES UpdateDecember 23, 20244 updates tracked since enumeration
NPPES CertifiedDecember 23, 2024
✔ NPI 1679188940 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 IL · 209.020100
825 W JACKSON ST, Morton, IL 61550
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Other Providers at the Same Location NPPES

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

4 INTEGRATED HEALTH LLC
Nurse Practitioner (Family)
825 W JACKSON ST
MORTON, IL 61550
Tazewell County (309) 291-0469

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Kunkle's NPI number?

The NPI number for Shannon Kunkle is 1679188940. It was assigned to this individual provider in the NPPES registry on September 13, 2020.

Where is Shannon Kunkle located?

Shannon Kunkle practices at 825 W Jackson St, Morton, IL 61550. The listed phone number is (309) 291-0469.

What is Shannon Kunkle's specialty?

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

When was this NPI record last updated?

The NPPES record for Shannon Kunkle was last updated on December 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.