Midnight Mental Health & Wellness PLLC
Nurse Practitioner in Peoria, IL. Organization (NPI-2).
NPI number1508791997
StatusActive
Last updated in NPPESNov 6, 2026
Details
- NPI
- 1508791997
- Entity type
- Organization (NPI-2)
- Legal business name
- Midnight Mental Health & Wellness PLLC
- Organization subpart
- No
- Enumeration date
- Jun 16, 2026
- Certification date
- Nov 6, 2026
- Last updated
- Nov 6, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | – | – | Yes |
Practice location
1717 W Candletree Dr Ste DPeoria, IL 61614-8502
Phone 309-504-0575 · Fax 309-439-2450
Mailing address
1717 W Candletree Dr Ste DPeoria, IL 61614-8502
Phone 309-504-0575 · Fax 309-439-2450
Authorized official
Morgan Skinner
Owner
3093687340
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