Mickie Lynne Dollins, LPN
Individual provider Active NPI Licensed Practical Nurse · Christopher, IL
NPI 1003045360 · NPPES record last updated Jul 8, 2009
Key facts
- NPI
- 1003045360
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 043063936 (IL)
- Practice address
- 4241 Hwy 14
Christopher, IL 62822 - Phone
- (618) 724-2436
- NPI assigned
- Jul 8, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043063936 | IL | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 043063936 | IL | Yes |
Addresses
Primary practice location
4241 Hwy 14
Christopher, IL 62822
Mailing address
PO Box 155
Christopher, IL 62822-0155
Phone (618) 724-2436
Other providers in Christopher, IL
- Sherry Collier
- Victoria Nicole Compa
- James Corzine
- Kortney Crawford
- Juliana Cruz
- Michele Leigh Dorris
- Jaela Doss
- Kathy Ann Esposito
- Janice Falknor
- Faith Fann
All providers in Christopher, IL · Licensed Practical Nurse in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.