Individual provider · Type 1 NPI

Jacquelyn Dortch, LPN

Licensed Practical Nurse · Eldorado, IL

NPI number 1649353160 Active

Practice location

1306 Maple St, Doctors Clinic
Eldorado, IL 62930

Fax (618) 273-2512

Mailing address

PO Box 155, Rea Clinic
Christopher, IL 62822

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X43065488 (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.

16 other providers at this address

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About NPI 1649353160

Jacquelyn Dortch, LPN's National Provider Identifier is 1649353160, issued on Oct 21, 2006. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Eldorado, IL. The record was last updated on Jul 8, 2007.