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Jaclyn Roth, LPN
Licensed Practical Nurse in Troy, Illinois
NPI 1548831159

Jaclyn Roth is a Licensed Practical Nurse based in Glen Carbon, IL. Jaclyn Roth practices in Troy, IL and has the professional credentials of LPN. The NPI Number for Jaclyn Roth is 1548831159 and holds a License No. 043119533 (Illinois).

The current practice location address for Jaclyn Roth is 121 Steven Dr, Troy, IL and can be reached out via phone at 618-288-3700.

Location: 121 Steven Dr, Troy, IL, 62034-1596
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548831159
Provider Name
Jaclyn Roth
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
121 Steven Dr, Troy, IL, 62034-1596
Phone Number
618-288-3700
Fax Number
Provider Enumeration Date
07/06/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
121 Steven Dr
City
Troy
State
Illinois
Zip
62294-1866
Phone Number
618-288-3700
Fax Number
person
Provider Business Mailing Address Details
Address
121 Steven Dr
City
Troy
State
Illinois
Zip
62294-1866
Phone Number
618-288-3700
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
043119533 (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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