Search › Illinois › 164W00000X
Jaclyn Roth, LPN
NPI 1548831159 · on the registry since 2021
Practice
- Address
- 121 Steven Dr
Troy, IL 62294 - Phone
- (618) 288-3700
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-07-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois