Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOMINIQUE TATUM
ActiveNurse's Aide · ROCKFORD, IL
Registration Details
- NPI Number
- 1396410726
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 9, 2021 (4.7013852767364 yrs)
- Last Updated
- Aug 9, 2021
Practice Information
- Address
-
2644 CONKLIN DR APT 1ROCKFORD, IL, 611011865Browse IL providers · Browse ZIP 61101
- Phone
- 8157135685
- Primary Specialty
-
Nurse's Aide
376K00000X
Other Nurse's Aide Providers in ROCKFORD, IL
| Name | Credential | NPI |
|---|---|---|
| KILEE KENERSON | — | 1073068375 |
| MRS. NICHOLE SABRINA PALMENO-GONZALEZ | CNA | 1831618990 |
| JOHANNA ABRAHAMSON | CNA | 1740793512 |
| SHATONNA JOHNSON | — | 1972018125 |
| CATHERINE L HILL | — | 1104482769 |
| TONYA FREE | CNA | 1841914595 |
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.