Provider Demographics
NPI:1639255219
Name:PELFREY, NANCY JEAN (NP)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:JEAN
Last Name:PELFREY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:JEAN
Other - Last Name:OSBORNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1832 CENTRE POINT CIR
Mailing Address - Street 2:SUITE 106
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-1438
Mailing Address - Country:US
Mailing Address - Phone:630-245-0339
Mailing Address - Fax:866-594-9002
Practice Address - Street 1:267 W MERRICK RD
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:FREEPORT
Practice Address - State:NY
Practice Address - Zip Code:11520-3346
Practice Address - Country:US
Practice Address - Phone:516-379-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPN05217363LA2100X
NC5010456363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care