Individual provider · Type 1 NPI

Dory Mickna, FNP-C

Nurse Practitioner · Pekin, IL

NPI number 1700507167 Active

Practice location

2301 Court St
Pekin, IL 61554-5304

Mailing address

11550 Ropp Rd
Tremont, IL 61568-8803

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209025883 (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…

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About NPI 1700507167

Dory Mickna, FNP-C's National Provider Identifier is 1700507167, issued on Sep 6, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Pekin, IL. The record was last updated on Sep 6, 2022.