Whalio Doctors

NPI 1073985511

Stacy Owens, LPN

Practitioner Licensed Practical Nurse Mount Vernon, IL

Practice location

Address
2920 Veterans Memorial Dr, Mount Vernon, IL 62864-5924
Phone
(618) 244-6544
Mailing address
PO Box 155, Christopher, IL 62822-0155

Registered specialties

Licensed Practical Nurse Primary
Nursing Service Providers Taxonomy 164W00000X Licence 043082639 (IL)

Registry record

NPI
1073985511
Entity type
Individual
Sex (as registered)
Female
NPI issued
23 Oct 2015
Record last updated
23 Oct 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.