Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carrie H Kallal, MSNAPRN

Individual provider Pediatric Nurse Practitioner · NPI 1700499274

Carrie H Kallal, MSNAPRN is a Pediatric Nurse Practitioner in Jerseyville, Illinois. Licensed in Illinois. Registered with an NPI since 2020.

Licensed in
IL
In the registry since
2020

Practice location Address checks out

390 Maple Summit Rd Illini Bldg
Jerseyville, IL 62052
Phone: (618) 498-2101
Fax: (618) 498-8153
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 209021821 (IL)

Record details

NPI number1700499274
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSNAPRN
Sole proprietorNo
NPI enumeratedAugust 25, 2020
Last updated in NPPESNovember 13, 2024
Certification dateNovember 13, 2024