Individual provider · Type 1 NPI

Jewel Scroggins

Licensed Practical Nurse · Cahokia, IL

NPI number 1659123602 Active

Practice location

805 Saint Thomas Ln
Cahokia, IL 62206-1810

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse 164W00000X2017041810 (MO)
Licensed Practical Nurse Primary 164W00000X043112591 (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 1659123602

Jewel Scroggins's National Provider Identifier is 1659123602, issued on Apr 3, 2024. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Cahokia, IL. The record was last updated on Apr 3, 2024.