Individual provider · Type 1 NPI
Virginia Gentry, BSN, RN
General Practice Registered Nurse · Glen Carbon, IL
NPI number
1669301123
Active
Practice location
6212 Timberwolfe Dr
Glen Carbon, IL 62034-1388
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 041.536654 (IL) |
General Practice Registered Nurse: Definition to come...
Another provider at this address
About NPI 1669301123
Virginia Gentry, BSN, RN's National Provider Identifier is 1669301123, issued on May 19, 2026. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Glen Carbon, IL. The record was last updated on May 19, 2026.