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Destiny Medina
Psychiatric/Mental Health Registered Nurse in Dixon, Illinois
NPI 1184218703

Destiny Medina is a Psychiatric/Mental Health Registered Nurse based in Dixon, IL and is specialized in Psychiatric/Mental Health. Destiny Medina practices in Dixon, IL. The NPI Number for Destiny Medina is 1184218703 and holds a License No. 04191066 (Illinois).

The current practice location address for Destiny Medina is 325 Illinois Rt 2, Dixon, IL and can be reached out via phone at 815-284-6611.

Location: 325 Illinois Rt 2, Dixon, IL, 61021-9118
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184218703
Provider Name
Destiny Medina
Credential
Provider Entity Type
Individual
Gender
Female
Address
325 Illinois Rt 2, Dixon, IL, 61021-9118
Phone Number
815-284-6611
Fax Number
Provider Enumeration Date
02/24/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
325 Illinois Rt 2
City
Dixon
State
Illinois
Zip
61021-9118
Phone Number
815-284-6611
Fax Number
person
Provider Business Mailing Address Details
Address
325 Illinois Rt 2
City
Dixon
State
Illinois
Zip
61021-9118
Phone Number
815-284-6611
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
163WP0808X
License No.
04191066 (Illinois)
Definition
Definition to come...
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