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

Kelly L Perisin, FNP-C

Individual provider Nurse Practitioner · NPI 1063909299

Kelly L Perisin, FNP-C is a Nurse Practitioner in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2018.

Licensed in
IL
In the registry since
2018
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

2426 W Cornerstone Ct Ste 100
Peoria, IL 61614-2400
Phone: (309) 966-3137
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209017367 (IL)

Record details

NPI number1063909299
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedApril 13, 2018
Last updated in NPPESAugust 9, 2021
Certification dateAugust 9, 2021

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