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Nicole Lee Johnson, LPN
Licensed Practical Nurse in Marion, Illinois
NPI 1336603109

Nicole Lee Johnson is a Licensed Practical Nurse based in Vergennes, IL. Nicole Lee Johnson practices in Marion, IL and has the professional credentials of LPN. The NPI Number for Nicole Lee Johnson is 1336603109 and holds a License No. 043120707 (Illinois).

The current practice location address for Nicole Lee Johnson is 11531 Sunderland Rd, Marion, IL and can be reached out via phone at 618-201-9907.

Location: 11531 Sunderland Rd, Marion, IL, 62994-1805
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336603109
Provider Name
Nicole Lee Johnson
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
11531 Sunderland Rd, Marion, IL, 62994-1805
Phone Number
618-201-9907
Fax Number
Provider Enumeration Date
01/25/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
164W00000X 01 IL TAXONOMY CODE
J52563291734 01 IL DRIVERS LICENSE
institution
Provider Business Practice Location Address Details
Address
11531 Sunderland Rd
City
Marion
State
Illinois
Zip
62959-8274
Phone Number
618-201-9907
Fax Number
person
Provider Business Mailing Address Details
Address
11531 Sunderland Rd
City
Marion
State
Illinois
Zip
62959-8274
Phone Number
618-201-9907
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
043120707 (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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