Individual
MELISSA DUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, AG-ACNP-B
Contact information
Practice address
840 S WOOD ST, CHICAGO, IL 60612-4325
(312) 593-2268
Mailing address
840 S WOOD ST, CHICAGO, IL 60612-4325
(312) 593-2268
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209019128
IL
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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