MARY MARSHALL LPN
NPI 1336887397
Licensed Practical Nurse in Du Quoin, IL
- Individual
- Female
- Licensed Practical Nurse
About MARY MARSHALL
This page provides the complete NPI Profile along with additional information for Mary Marshall, a provider established in Du Quoin, Illinois with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1336887397 assigned on May 2022. The practitioner's primary taxonomy code is 164W00000X with license number 043102312 (IL). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1336887397 Verify this NPI
- Provider Name
- MARY MARSHALL LPN
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1564 S WASHINGTON ST DU QUOIN, IL 62832
- Location Phone
- (618) 724-2401
- Mailing Address
- 4241 HWY 14 W CHRISTOPHER, IL 62822
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-20-2022
- Last Update Date
- 05-20-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Licensed Practical Nurse
- Taxonomy Code
- 164W00000X
- Type
- Nursing Service Providers
- License No.
- 043102312
- License State
- IL
- Taxonomy Description
- 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.
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Other Providers at the Same Location
The following 12 providers are registered at the same or a nearby location.
DU QUOIN, IL 62832
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336887397, enumerated as an "individual" on May 20, 2022.
The provider is located at 1564 S WASHINGTON ST DU QUOIN, IL 62832 and the phone number is (618) 724-2401.
Licensed Practical Nurse with taxonomy code 164W00000X.
