Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Nicole M Wynn

Individual provider Developmental Therapist · NPI 1568699619

Mrs. Nicole M Wynn is a Developmental Therapist in Du Quoin, Illinois. Practices as a sole proprietor. Registered with an NPI since 2009.

In the registry since
2009
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Practice location Address checks out

8362 Sassafras Rd
Du Quoin, IL 62832-3604
Phone: (618) 542-4234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X

Record details

NPI number1568699619
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 16, 2009
Last updated in NPPESJune 16, 2009