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Dominique Ely
Nurse Practitioner in Springfield, Illinois
NPI 1629490081

Dominique Ely is a Nurse Practitioner based in Springfield, IL. Dominique Ely practices in Springfield, IL. The NPI Number for Dominique Ely is 1629490081 and holds a License No. 209011112 (Illinois).

The current practice location address for Dominique Ely is 747 N Rutledge St Fl 4, Springfield, IL and can be reached out via phone at 217-545-8000. You can also correspond with Dominique Ely through the mailing address at 201 E MADISON ST STE 328, SPRINGFIELD, IL - 62702-5131 (mailing address contact number: 217-545-8000).

Location: 747 N Rutledge St Fl 4, Springfield, IL, 62702-5131
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629490081
Provider Name
Dominique Ely
Credential
Provider Entity Type
Individual
Gender
Female
Address
747 N Rutledge St Fl 4, Springfield, IL, 62702-5131
Phone Number
217-545-8000
Fax Number
Provider Enumeration Date
01/20/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
747 N Rutledge St Fl 4
City
Springfield
State
Illinois
Zip
62702-6700
Phone Number
217-545-8000
Fax Number
person
Provider Business Mailing Address Details
Address
747 N Rutledge St Fl 4
City
Springfield
State
Illinois
Zip
62702-6700
Phone Number
217-545-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
209011112 (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.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
209011112 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
209011112 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
209011112 (Illinois)
Definition
Definition to come...
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