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Ms. Tammy Dubose, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Waukegan, Illinois
NPI 1437494630

Tammy Dubose is a Psychiatric/Mental Health Nurse Practitioner based in Waukegan, IL and is specialized in Psychiatric/Mental Health. Tammy Dubose practices in Waukegan, IL and has the professional credentials of PMHNP. The NPI Number for Tammy Dubose is 1437494630 and holds a License No. 209028247 (Illinois).

The current practice location address for Tammy Dubose is 3004 Grand Ave, Waukegan, IL and can be reached out via phone at 401-602-3938.

Location: 3004 Grand Ave, Waukegan, IL, 60085-2321
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437494630
Provider Name
Tammy Dubose
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
3004 Grand Ave, Waukegan, IL, 60085-2321
Phone Number
401-602-3938
Fax Number
Provider Enumeration Date
11/29/2012
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1437494630 05 RI
1437494630 05 CT
institution
Provider Business Practice Location Address Details
Address
3004 Grand Ave
City
Waukegan
State
Illinois
Zip
60085-2321
Phone Number
401-602-3938
Fax Number
person
Provider Business Mailing Address Details
Address
3004 Grand Ave
City
Waukegan
State
Illinois
Zip
60085-2321
Phone Number
401-602-3938
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
209028247 (Illinois)
Definition
Definition to come...
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