Individual provider · Type 1 NPI
Thomas Francis Dissette Jr., DNP, APRN, FNP-C
Family Nurse Practitioner · Maryville, IL
NPI number
1235912791
Active
Practice location
6720 Oxford Ln
Maryville, IL 62062-6876
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Registered Nurse | 163WE0003X | 041507231 (IL) |
| Emergency Registered Nurse | 163WE0003X | 2009011016 (MO) |
| Family Nurse Practitioner Primary | 363LF0000X | 209.029957 (IL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1235912791
Thomas Francis Dissette Jr., DNP, APRN, FNP-C's National Provider Identifier is 1235912791, issued on Aug 17, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Maryville, IL. The record was last updated on Aug 24, 2024.