Fred, Jamie Lynn

Fred, Jamie Lynn is an individual health care provider with primary practice located at 119 Gas Plant Road Rea Clinic-Duquoin, Johnston City IL 62951. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Fred, Jamie Lynn can be contacted via phone (618) 542-8702.

Contact Information

Primary practice address
119 Gas Plant Road Rea Clinic-Duquoin Johnston City IL 62951
Phone: (618) 542-8702
Fax: (618) 542-8792
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X Illinois

Profile Details

NPI number 1982888343
LBN Legal business name Fred, Jamie Lynn
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2007
Last updated Dec 20th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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