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Dominique Ely, AGACNP-BC
Acute Care Nurse Practitioner in Decatur, Illinois
NPI 1629490081

Dominique Ely is an Acute Care Nurse Practitioner based in Springfield, IL and is specialized in Acute Care. Dominique Ely practices in Decatur, IL and has the professional credentials of AGACNP-BC. The NPI Number for Dominique Ely is 1629490081 and holds a License No. 209011112 (Illinois).

The current practice location address for Dominique Ely is 302 W Hay St Ste 140, Decatur, IL and can be reached out via phone at 217-872-2713 and via fax at 217-545-1958.

Location: 302 W Hay St Ste 140, Decatur, IL, 62794-9639
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629490081
Provider Name
Dominique Ely
Credential
AGACNP-BC
Provider Entity Type
Individual
Gender
Female
Address
302 W Hay St Ste 140, Decatur, IL, 62794-9639
Phone Number
217-872-2713
Fax Number
217-545-1958
Provider Enumeration Date
01/20/2014
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
302 W Hay St Ste 140
City
Decatur
State
Illinois
Zip
62526-4168
Phone Number
217-872-2713
Fax Number
217-545-1958
person
Provider Business Mailing Address Details
Address
302 W Hay St Ste 140
City
Decatur
State
Illinois
Zip
62526-4168
Phone Number
217-872-2713
Fax Number
217-545-1958
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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