Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DESTINY MEDINA
ActiveDESTINY MEDINA is a Child & Adolescent Psychiatric Nurse healthcare provider located in DIXON, Illinois. NPI 1184218703 is currently active in the NPPES registry. Verify at CMS.
Child & Adolescent Psychiatric Nurse · DIXON, IL
Registration Details
- NPI Number
- 1184218703
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 24, 2021 (5.5125273507393 yrs)
- Last Updated
- Feb 24, 2021
- License
-
04191066 (IL)
Practice Information
- Address
-
325 ILLINOIS RT 2DIXON, IL, 610219118Browse IL providers · Browse ZIP 61021
- Phone
- 8152846611
- Primary Specialty
-
Child & Adolescent Psychiatric Nurse
163WP0808X
Other Child & Adolescent Psychiatric Nurse Providers in DIXON, IL
| Name | Credential | NPI |
|---|---|---|
| KELLY L KLIEBE | — | 1215561600 |
| JENNIFER HURD | — | 1356097778 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.