Individual provider · Type 1 NPI

Jonathan Lee Mattingly, LPN

Licensed Practical Nurse · Marion, IL

NPI number 1154057404 Active

Practice location

11531 Sunderland Rd # A
Marion, IL 62959-8274

Call (618) 534-3624 Map

Mailing address

11531 Sunderland Rd
Marion, IL 62959-8274

Specialties and licenses

Taxonomy	Code	License
Licensed Practical Nurse Primary	164W00000X	043.118516 (IL)

Licensed Practical Nurse: 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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About NPI 1154057404

Jonathan Lee Mattingly, LPN's National Provider Identifier is 1154057404, issued on Jul 28, 2022. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Marion, IL. The record was last updated on Aug 4, 2022.