Provider Demographics
NPI:1093699175
Name:SKILLMAN, MEAGAN MICHELLE (RN)
Entity type:Individual
Prefix:MRS
First Name:MEAGAN
Middle Name:MICHELLE
Last Name:SKILLMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 N OLIVE ST
Mailing Address - Street 2:
Mailing Address - City:FARMLAND
Mailing Address - State:IN
Mailing Address - Zip Code:47340-9686
Mailing Address - Country:US
Mailing Address - Phone:765-717-3320
Mailing Address - Fax:
Practice Address - Street 1:218 N OLIVE ST
Practice Address - Street 2:
Practice Address - City:FARMLAND
Practice Address - State:IN
Practice Address - Zip Code:47340-9686
Practice Address - Country:US
Practice Address - Phone:765-717-3320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-02
Last Update Date:2025-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28296691A163WR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0400XNursing Service ProvidersRegistered NurseRehabilitation