IndividualActive
Ellice Wickwire, R.N.
NPI 1386081115 · Community Health Registered Nurse · Pinckneyville, IL
Provider details
- NPI number
- 1386081115
- Entity type
- Individual
- Primary specialty
- Community Health Registered NurseNursing Service Providers
- Credential
- R.N.
- Sex
- Female
- Sole proprietor
- No
- License
- 041.276442 (IL)
Specialties & taxonomies
Nursing Service Providers
Practice location
907 S Main St
Pinckneyville, IL 62274-1700
Phone: (618) 357-5371
Fax: (618) 357-3190
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 49
Pinckneyville, IL 62274-0049
Registry dates
- Enumerated
- 2013-06-03
- Last updated
- 2013-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.