Nikki Boswell
Nikki Boswell is a Nurse Practitioner in Peoria, Illinois. Qualified in 2017, 9 years ago. Practices as a sole proprietor. Licensed in Illinois.
- Years since qualifying
- 9
- Licensed in
- IL
- In the registry since
- 2025
Practice location Address checks out
4501 N Sterling Ave Ste 104Peoria, IL 61615-3865
Phone: (309) 306-1029
Fax: (309) 291-0932
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 029033658 (IL) |
|---|
Record details
| NPI number | 1982572186 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 28, 2025 |
| Last updated in NPPES | October 28, 2025 |
| Certification date | October 28, 2025 |
| Mailing address | 1580 School St, Washington, IL 61571-9510 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2017 (9 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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