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Logan Scott Holland
Licensed Practical Nurse in Marion, Illinois
NPI 1528542636

Logan Scott Holland is a Licensed Practical Nurse based in Johnston City, IL. Logan Scott Holland practices in Marion, IL. The NPI Number for Logan Scott Holland is 1528542636 and holds a License No. 043126114 (Illinois).

The current practice location address for Logan Scott Holland is 11531 Sunderland Rd, Marion, IL and can be reached out via phone at 618-964-5139. You can also correspond with Logan Scott Holland through the mailing address at 1118 MONROE AVE, JOHNSTON CITY, IL - 62951-1565 (mailing address contact number: 618-364-5784).

Location: 11531 Sunderland Rd, Marion, IL, 62951-1565
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528542636
Provider Name
Logan Scott Holland
Credential
Provider Entity Type
Individual
Gender
Male
Address
11531 Sunderland Rd, Marion, IL, 62951-1565
Phone Number
618-964-5139
Fax Number
Provider Enumeration Date
09/24/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11531 Sunderland Rd
City
Marion
State
Illinois
Zip
62959-8274
Phone Number
618-964-5139
Fax Number
person
Provider Business Mailing Address Details
Address
11531 Sunderland Rd
City
Marion
State
Illinois
Zip
62959-8274
Phone Number
618-964-5139
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
043126114 (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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