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Shirley A Braddy, LPN
Licensed Practical Nurse in Mount Vernon, Illinois
NPI 1750659546

Shirley A Braddy is a Licensed Practical Nurse based in Christopher, IL. Shirley A Braddy practices in Mount Vernon, IL and has the professional credentials of LPN. The NPI Number for Shirley A Braddy is 1750659546 and holds a License No. 043068030 (Illinois).

The current practice location address for Shirley A Braddy is 2920 Veterans Memorial Dr, Mount Vernon, IL and can be reached out via phone at 618-244-6544 and via fax at 618-244-6577.

Location: 2920 Veterans Memorial Dr, Mount Vernon, IL, 62822-0155
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750659546
Provider Name
Shirley A Braddy
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
2920 Veterans Memorial Dr, Mount Vernon, IL, 62822-0155
Phone Number
618-244-6544
Fax Number
618-244-6577
Provider Enumeration Date
12/07/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2920 Veterans Memorial Dr
City
Mount Vernon
State
Illinois
Zip
62864-5924
Phone Number
618-244-6544
Fax Number
618-244-6577
person
Provider Business Mailing Address Details
Address
2920 Veterans Memorial Dr
City
Mount Vernon
State
Illinois
Zip
62864-5924
Phone Number
618-244-6544
Fax Number
618-244-6577
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
043068030 (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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