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Dermcare & Healthcare Clinic, Llc
Nurse Practitioner in Centralia, Illinois
NPI 1053804740

Dermcare & Healthcare Clinic, Llc is a Nurse Practitioner based in Centralia, IL. Dermcare & Healthcare Clinic, Llc practices in Centralia, IL. The NPI Number for Dermcare & Healthcare Clinic, Llc is 1053804740 and holds a License No. 209009665 (Illinois).

The current practice location address for Dermcare & Healthcare Clinic, Llc is 1007 M L King Dr Ste 1, Centralia, IL and can be reached out via phone at 618-918-2566 and via fax at 618-918-2565.

Location: 1007 M L King Dr Ste 1, Centralia, IL, 62801-3009
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053804740
Provider Name
Dermcare & Healthcare Clinic, Llc
Credential
Provider Entity Type
Organization
Address
1007 M L King Dr Ste 1, Centralia, IL, 62801-3009
Phone Number
618-918-2566
Fax Number
618-918-2565
Provider Enumeration Date
06/07/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1007 M L King Dr Ste 1
City
Centralia
State
Illinois
Zip
62801-3009
Phone Number
618-918-2566
Fax Number
618-918-2565
person
Provider Business Mailing Address Details
Address
1007 M L King Dr Ste 1
City
Centralia
State
Illinois
Zip
62801-3009
Phone Number
618-918-2566
Fax Number
618-918-2565
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
209009665 (Illinois)
Definition
(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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