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Tonya K Mcdougall, NP
Nurse Practitioner in Peoria, Illinois
NPI 1700917119

Tonya K Mcdougall is a Nurse Practitioner based in Peoria, IL. Tonya K Mcdougall practices in Peoria, IL and has the professional credentials of NP. The NPI Number for Tonya K Mcdougall is 1700917119 and holds a License No. 209001236 (Illinois).

The current practice location address for Tonya K Mcdougall is 420 Ne Glen Oak Ave Ste 401, Peoria, IL and can be reached out via phone at 309-676-8123 and via fax at 309-676-8455.

Location: 420 Ne Glen Oak Ave Ste 401, Peoria, IL, 61603-3112
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700917119
Provider Name
Tonya K Mcdougall
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
420 Ne Glen Oak Ave Ste 401, Peoria, IL, 61603-3112
Phone Number
309-676-8123
Fax Number
309-676-8455
Provider Enumeration Date
03/08/2007
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00092881 01 IL RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
420 Ne Glen Oak Ave Ste 401
City
Peoria
State
Illinois
Zip
61603-3168
Phone Number
309-676-8123
Fax Number
309-676-8455
person
Provider Business Mailing Address Details
Address
420 Ne Glen Oak Ave Ste 401
City
Peoria
State
Illinois
Zip
61603-3168
Phone Number
309-676-8123
Fax Number
309-676-8455
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
209001236 (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
Family
Taxonomy
363LF0000X
License No.
209001236 (Illinois)
Definition
Definition to come...
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