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Ms. Nicole Kristin Boles, LPN
Licensed Practical Nurse in Joppa, Illinois
NPI 1790205896

Nicole Kristin Boles is a Licensed Practical Nurse based in Bardwell, IL. Nicole Kristin Boles practices in Joppa, IL and has the professional credentials of LPN. The NPI Number for Nicole Kristin Boles is 1790205896 and holds a License No. 043.120833 (Illinois).

The current practice location address for Nicole Kristin Boles is 922 Bly St., Joppa, IL and can be reached out via phone at 618-309-2455.

Location: 922 Bly St., Joppa, IL, 42023-8530
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790205896
Provider Name
Nicole Kristin Boles
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
922 Bly St., Joppa, IL, 42023-8530
Phone Number
618-309-2455
Fax Number
Provider Enumeration Date
06/21/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
043.120833 01 IL LICENSED PRACTICAL NURSE
institution
Provider Business Practice Location Address Details
Address
922 Bly St.
City
Joppa
State
Illinois
Zip
62953
Phone Number
618-309-2455
Fax Number
person
Provider Business Mailing Address Details
Address
922 Bly St.
City
Joppa
State
Illinois
Zip
62953
Phone Number
618-309-2455
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
043.120833 (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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