ELLICE ANN WICKWIRE R.N.
NPI 1386081115
Registered Nurse - Community Health in Pinckneyville, IL

Active since June 03, 2013
907 S MAIN ST, PINCKNEYVILLE, IL 62274(618) 357-5371(618) 357-3190 Get Directions Write a Review

NPPES record last updated: June 3, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ellice Ann Wickwire R.n. NPPES

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

ELLICE ANN WICKWIRE R.N. (NPI 1386081115) is an individual community health provider in Pinckneyville, Illinois, licensed in Illinois (041.276442) and active in the NPI registry since June 2013.

NPPES Registry Identity

NPI1386081115
Entity TypeIndividualFemale
Primary Taxonomy163WC1500X
Provider Legal NameELLICE ANN WICKWIRECredential: R.N.
Location Address907 S MAIN STPinckneyville, IL 62274-1700
Mailing AddressPo Box 49Pinckneyville, IL 62274-0049 · (618) 357-5371 · Fax (618) 357-3190
Fax(618) 357-3190
Sole ProprietorNo
Enumeration DateJune 3, 2013
NPI 1386081115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · Community HealthNursing Service Providers
Taxonomy Code163WC1500X
License Licensed in IL · 041.276442
907 S MAIN ST, Pinckneyville, IL 62274

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Public Health or Welfare
907 S MAIN ST
PINCKNEYVILLE, IL 62274
Counselor
907 S MAIN ST
PINCKNEYVILLE, IL 62274

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 Ellice Wickwire's NPI number?

The NPI number for Ellice Wickwire is 1386081115. It was assigned to this individual provider in the NPPES registry on June 3, 2013.

Where is Ellice Wickwire located?

Ellice Wickwire practices at 907 S Main St, Pinckneyville, IL 62274. The listed phone number is (618) 357-5371.

What is Ellice Wickwire's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Community Health, with taxonomy code 163WC1500X.

When was this NPI record last updated?

The NPPES record for Ellice Wickwire was last updated on June 3, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.