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

Kelly Desmarais, APRN

Individual provider Nurse Practitioner · NPI 1417830803

Kelly Desmarais, APRN is a Nurse Practitioner in Peoria, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2025
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

719 N William Kumpf Blvd Ste 100
Peoria, IL 61605-2531
Phone: (309) 624-9934
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209.032862 (IL)

Record details

NPI number1417830803
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorYes
NPI enumeratedJuly 31, 2025
Last updated in NPPESJuly 31, 2025
Certification dateJuly 31, 2025

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