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Melissa Nicole Teyim

Nurse Practitioner, Family in Springfield, IL. Individual provider (NPI-1).

NPI number1124875414
StatusActive
Last updated in NPPESMay 3, 2024

Details

NPI
1124875414
Entity type
Individual (NPI-1)
Name
Melissa Nicole Teyim
Sex
Female
Sole proprietor
No
Enumeration date
May 3, 2024
Certification date
May 3, 2024
Last updated
May 3, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family209.029656ILYes

Practice location

2833 S Grand Ave E
Springfield, IL 62703-2175

Phone 217-535-3100

Mailing address

2833 S Grand Ave E
Springfield, IL 62703-2175

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