Individual provider · Type 1 NPI

Dominique McMillon

Licensed Practical Nurse · Decatur, IL

NPI number 1710403845 Active

Practice location

151 N Main St
Decatur, IL 62523-1206

Call (217) 362-6262 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X043122650 (IL)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1710403845

Dominique McMillon's National Provider Identifier is 1710403845, issued on Aug 21, 2017. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Decatur, IL. The record was last updated on Aug 21, 2017.