Individual provider · Type 1 NPI

Joshua David Bloodworth

Licensed Practical Nurse · Marion, IL

NPI number 1992628473 Active

Practice location

208 Wildrose Ln Apt A
Marion, IL 62959-1390

Fax (618) 964-4254

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X043137735 (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 1992628473

Joshua David Bloodworth's National Provider Identifier is 1992628473, issued on Aug 3, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Marion, IL. The record was last updated on Aug 3, 2026.