Organization · Type 2 NPI
Dermcare & Healthcare Clinic, LLC
Nurse Practitioner · Centralia, IL
Practice location
1007 M L King Dr Ste 1
Centralia, IL 62801-3009
Fax (618) 918-2565
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 209009665 (IL) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
About NPI 1053804740
Dermcare & Healthcare Clinic, LLC's National Provider Identifier is 1053804740, issued on Jun 7, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Centralia, IL. The record was last updated on Jan 22, 2020.