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

Fariahh Fazil, FNP-BC

Individual provider Nurse Practitioner · NPI 1053954503

Fariahh Fazil, FNP-BC is a Nurse Practitioner in Mount Vernon, Illinois. Qualified in 2018, 8 years ago. Practices with Beacon Health Medical PC, a 35-clinician group. Licensed in Illinois.

Years since qualifying
8
Licensed in
IL
In the registry since
2019
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2 Good Samaritan Way Ste 235
Mount Vernon, IL 62864-2476
Phone: (618) 899-3980
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209019228 (IL)

Record details

NPI number1053954503
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedOctober 28, 2019
Last updated in NPPESOctober 19, 2020
Certification dateOctober 19, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Beacon Health Medical Pc — 35 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Mount Vernon