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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DOMINIQUE ELY, AGACNP-BC

Active

DOMINIQUE ELY, AGACNP-BC is a Acute Care Nurse Practitioner healthcare provider located in DECATUR, Illinois. NPI 1629490081 is currently active in the NPPES registry. Verify at CMS.

Acute Care Nurse Practitioner · DECATUR, IL

Registration Details

NPI Number
1629490081
Provider Type
Individual
Gender
Female
NPI Issued
Jan 20, 2014 (12.531116259059 yrs)
Last Updated
Sep 24, 2024
Licenses
209011112 (IL)
209011112 (IL)
209011112 (IL)
209011112 (IL)

Practice Information

Address
302 W HAY ST STE 140
DECATUR, IL, 625264168
Browse IL providers · Browse ZIP 62526
Phone
2178722713
Fax
2175451958
Primary Specialty
Acute Care Nurse Practitioner
363LA2100X
Additional Specialty
Acute Care Nurse Practitioner

Other Acute Care Nurse Practitioner Providers in DECATUR, IL

Name Credential NPI
CARA A GRAVLIN ACNP 1912093816
MR. JUSTIN WILLIAM KIERBS ACNP-BC 1841579026
MRS. COURTNEY JANE CRIEL ACNP 1417207689
ASHLEY WRIGLEY RN, MSN, AGACNP-BC 1477157410
MR. AARON TODD BELL AGACNP-BC 1013663186
JOSEPH HARBOURN ACNPC-AG 1912634916
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.