R JEANETTE WANGLER LPN
NPI 1104075803
Licensed Practical Nurse in Mount Vernon, IL

Q: What is R Wangler's NPI number?

The NPI number for R Wangler is 1104075803. It was assigned to this individual provider in the NPPES registry on September 17, 2008.

Q: What is R Wangler's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for R Wangler was last updated on September 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 17, 2008

2920 VETERANS MEMORIAL DR, MOUNT VERNON, IL 62864(618) 244-6544 Get Directions Write a Review

NPPES record last updated: September 17, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About R Jeanette Wangler Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

R JEANETTE WANGLER LPN (NPI 1104075803) is an individual licensed practical nurse in Mount Vernon, Illinois, licensed in Illinois (043080905) and active in the NPI registry since September 2008.

NPPES Registry Identity

NPI1104075803

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameR JEANETTE WANGLERCredential: LPN

Location Address2920 VETERANS MEMORIAL DRMount Vernon, IL 62864-5924

Mailing AddressPo Box 155Christopher, IL 62822-0155 · (618) 724-2436

Phone(618) 244-6544

Sole ProprietorNo

Enumeration DateSeptember 17, 2008

✔ NPI 1104075803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in IL · 043080905

Definition

A licensed practical nurse 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.

2920 VETERANS MEMORIAL DR, Mount Vernon, IL 62864

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUDY K JENKINS LPN

Licensed Practical Nurse