Individual
MRS. TIESHA TAYLOR-DUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
819 BLOOMINGTON RD, CHAMPAIGN, IL 61820-2101
(217) 356-1558
Mailing address
5616 COLGATE LN, MATTESON, IL 60443-1509
(217) 356-1558
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2025000570
IL
Other
Enumeration date
11/12/2025
Last updated
01/27/2026
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