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Mr. Jonathan Lee Mattingly, LPN
Licensed Practical Nurse in Marion, Illinois
NPI 1154057404

Jonathan Lee Mattingly is a Licensed Practical Nurse based in Marion, IL. Jonathan Lee Mattingly practices in Marion, IL and has the professional credentials of LPN. The NPI Number for Jonathan Lee Mattingly is 1154057404 and holds a License No. 043.118516 (Illinois).

The current practice location address for Jonathan Lee Mattingly is 11531 Sunderland Rd # A, Marion, IL and can be reached out via phone at 618-534-3624.

Location: 11531 Sunderland Rd # A, Marion, IL, 62959-8274
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154057404
Provider Name
Jonathan Lee Mattingly
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
11531 Sunderland Rd # A, Marion, IL, 62959-8274
Phone Number
618-534-3624
Fax Number
Provider Enumeration Date
07/28/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11531 Sunderland Rd # A
City
Marion
State
Illinois
Zip
62959-8274
Phone Number
618-534-3624
Fax Number
person
Provider Business Mailing Address Details
Address
11531 Sunderland Rd # A
City
Marion
State
Illinois
Zip
62959-8274
Phone Number
618-534-3624
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
043.118516 (Illinois)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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