Individual provider · Type 1 NPI
Caleb Pennock
Licensed Practical Nurse · Carterville, IL
NPI number
1720535032
Active
Practice location
4474 Old Route 13
Carterville, IL 62918-3300
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 043.122929 (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.
Other licensed practical nurse providers in Carterville
About NPI 1720535032
Caleb Pennock's National Provider Identifier is 1720535032, issued on Sep 2, 2016. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Carterville, IL. The record was last updated on Sep 2, 2016.