NPI 1104075803

R Jeanette Wangler, 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 043080905 (IL)

Other Licensed Practical Nurse providers in Illinois →

Registry record

NPI: 1104075803
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Sep 2008
Record last updated: 17 Sep 2008

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.