Individual
MS. M'LISSA ANN DUNCAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSMCT, RN, HNB-BC
Contact information
Practice address
804 E NORTHLINE RD, TUSCOLA, IL 61953-1107
(217) 974-5735
Mailing address
804 E NORTHLINE RD, TUSCOLA, IL 61953-1107
(217) 974-5735
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041397803
IL
164W00000X
Licensed Practical Nurse
043103777
IL
364SH1100X
Holistic Clinical Nurse Specialist
Primary
20868H2
IL
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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