Divine, Ashley Nicole
Divine, Ashley Nicole is an individual health care provider with primary practice located at 1 Kish Hospital Dr , Dekalb IL 60115-9602. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Divine, Ashley Nicole can be contacted via phone (815) 766-7334.Contact Information
Primary practice address
1 Kish Hospital Dr
Dekalb IL 60115-9602
Phone: (815) 766-7334
Fax: (815) 766-9768
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | 041392233 | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 209025054 | Illinois |
Profile Details
NPI number | 1861148603 |
---|---|
LBN Legal business name | Divine, Ashley Nicole |
Credentials | Advanced Practice Registered Nurse (APRN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 1st, 2022 |
Last updated | Sep 21st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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