Provider Demographics
NPI:1639358468
Name:DEBOIS, SYLETTE NICHELLE (REGISTERED NURSE)
Entity Type:Individual
Prefix:MRS
First Name:SYLETTE
Middle Name:NICHELLE
Last Name:DEBOIS
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:SYLETTE
Other - Middle Name:NICHELLE
Other - Last Name:THOMPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:21304 MEGAN CT
Mailing Address - Street 2:
Mailing Address - City:MATTESON
Mailing Address - State:IL
Mailing Address - Zip Code:60443-1458
Mailing Address - Country:US
Mailing Address - Phone:708-955-4176
Mailing Address - Fax:
Practice Address - Street 1:21304 MEGAN CT
Practice Address - Street 2:
Practice Address - City:MATTESON
Practice Address - State:IL
Practice Address - Zip Code:60443-1458
Practice Address - Country:US
Practice Address - Phone:708-955-4176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-29
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse