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

Rhonda Raye Heatherly, APN, FNP

Individual provider Family Nurse Practitioner · NPI 1073048120

Rhonda Raye Heatherly, APN, FNP is a Nurse Practitioner in Marion, Illinois. Qualified in 2016, 10 years ago. Practices with Deaconess Illinois Specialty Clinic, Inc, a 139-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
10
Licensed in
IL
In the registry since
2017
Specialties on file
2
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

106 S Vicksburg St
Marion, IL 62959-1930
Phone: (618) 998-1900
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209015818 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 209.015818 (IL)

Record details

NPI number1073048120
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN , FNP
Sole proprietorNo
NPI enumeratedApril 26, 2017
Last updated in NPPESJanuary 25, 2023
Certification dateJanuary 25, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Deaconess Illinois Specialty Clinic, Inc. — 139 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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