Sandra Tate, APN, PMNCNS-BC

Individual Active
NPI 1326093493
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist Marion, IL

NPI 1326093493 belongs to Sandra Tate, APN, PMNCNS-BC, a child & adolescent psychiatric/mental health clinical nurse specialist with a practice location in Marion, IL. The NPI was issued on May 24, 2006, and the record was last updated in NPPES on January 15, 2026. The record lists 2 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist Primary 364SP0807X 277000849 (IL)
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 277-000849 (IL)

Practice location

3412 Office Park Dr
Marion, IL 62959-6477
Phone: (618) 292-9999

Local context

Active NPPES records list 1 provider with child & adolescent psychiatric/mental health clinical nurse specialist as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 6 in Illinois and 257 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Sandra Tate
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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