Individual provider · Type 1 NPI

Jamie Poninski, LPN

Licensed Practical Nurse · Anna, IL

NPI number 1174318604 Active

Practice location

800 N Main St
Anna, IL 62906-1665

Fax (618) 833-2371

Mailing address

902 W Main St
West Frankfort, IL 62896-2210

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X043.124705 (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 1174318604

Jamie Poninski, LPN's National Provider Identifier is 1174318604, issued on Apr 14, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Anna, IL. The record was last updated on Apr 14, 2025.