| Mr Jonathan Lee Mattingly, LPN | |
|
11531 Sunderland Rd # A, Marion, IL 62959-8274 | |
| (618) 534-3624 | |
| Not Available |
| Full Name | Mr Jonathan Lee Mattingly |
|---|---|
| Gender | Male |
| Speciality | Licensed Practical Nurse |
| Location | 11531 Sunderland Rd # A, Marion, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154057404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 043.118516 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jonathan Lee Mattingly, LPN 11531 Sunderland Rd, Marion, IL 62959-8274 Ph: (618) 964-5139 | Mr Jonathan Lee Mattingly, LPN 11531 Sunderland Rd # A, Marion, IL 62959-8274 Ph: (618) 534-3624 |
Rebecca S Isaacs, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2401 W Main St, Marion, IL 62959 Phone: 618-997-5311 | |
Mrs. Jodi Lee Kelly, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2401 W Main St, Marion, IL 62959 Phone: 618-997-5311 | |
Ladonna M Borum, LICENSED PRACTICAL N Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2401 W Main St, Marion, IL 62959 Phone: 618-997-5311 | |
Amber Lynn Stull, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 11531 Sunderland Rd, Marion, IL 62959 Phone: 618-964-5139 | |
Mariann Renee Cook, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 11531 Sunderland Rd, Marion, IL 62959 Phone: 618-964-5139 | |
Shylah Nicolle Heath, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 11531 Sunderland Rd, Marion, IL 62959 Phone: 618-964-5139 |