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DERMCARE & HEALTHCARE CLINIC, LLC
NPI 1053804740
Nurse Practitioner in Centralia, IL

Active since June 07, 2018
1007 M L KING DR STE 1, CENTRALIA, IL 62801(618) 918-2566(618) 918-2565 Get Directions Write a Review

NPPES record last updated: January 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dermcare & Healthcare Clinic, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERMCARE & HEALTHCARE CLINIC, LLC (NPI 1053804740), doing business as Dermatology And Medical Clinic, Llc, is a healthcare organization registered as a nurse practitioner in Centralia, Illinois and active in the NPI registry since June 2018. The organization lists Tracy Dawn Arnold, Owner, Np-c, as its authorized official.

NPPES Registry Identity

NPI1053804740
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameDERMCARE & HEALTHCARE CLINIC, LLC
Location Address1007 M L KING DR STE 1Centralia, IL 62801-3009
Mailing Address1007 M L King Dr Ste 1Centralia, IL 62801-3009 · (618) 918-2566 · Fax (618) 918-2565
Phone(618) 918-2566
Fax(618) 918-2565
Organization SubpartNo
Authorized OfficialTracy Dawn ArnoldOwner, Np-c · (618) 918-2566
Enumeration DateJune 7, 2018
Last NPPES UpdateJanuary 22, 2020
✔ NPI 1053804740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209009665
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1007 M L KING DR STE 1, Centralia, IL 62801
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Other Names 1

Former Legal Business NameDermatology And Medical Clinic, Llc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dermcare & Healthcare Clinic, LLC's NPI number?

The NPI number for Dermcare & Healthcare Clinic, LLC is 1053804740. It was assigned to this organization in the NPPES registry on June 7, 2018. The provider was formerly known as Dermatology And Medical Clinic, LLC.

Where is Dermcare & Healthcare Clinic, LLC located?

Dermcare & Healthcare Clinic, LLC is located at 1007 M L King Dr Ste 1, Centralia, IL 62801. The listed phone number is (618) 918-2566.

What is Dermcare & Healthcare Clinic, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Dermcare & Healthcare Clinic, LLC was last updated on January 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.