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Jennifer Mengedoht, LPN
Licensed Practical Nurse in Rockford, Illinois
NPI 1376891994

Jennifer Mengedoht is a Licensed Practical Nurse based in Rockford, IL. Jennifer Mengedoht practices in Rockford, IL and has the professional credentials of LPN. The NPI Number for Jennifer Mengedoht is 1376891994 and holds a License No. 043-106278 (Illinois).

The current practice location address for Jennifer Mengedoht is 3815 Harrison Ave, Rockford, IL and can be reached out via phone at 815-391-1000 and via fax at 815-391-5040.

Location: 3815 Harrison Ave, Rockford, IL, 61107-3877
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376891994
Provider Name
Jennifer Mengedoht
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
3815 Harrison Ave, Rockford, IL, 61107-3877
Phone Number
815-391-1000
Fax Number
815-391-5040
Provider Enumeration Date
08/29/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3815 Harrison Ave
City
Rockford
State
Illinois
Zip
61108-7631
Phone Number
815-391-1000
Fax Number
815-391-5040
person
Provider Business Mailing Address Details
Address
3815 Harrison Ave
City
Rockford
State
Illinois
Zip
61108-7631
Phone Number
815-391-1000
Fax Number
815-391-5040
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
043-106278 (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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