SearchIllinois164W00000X

Jamie Fred, LPN

NPI 1982888343 · on the registry since 2007

Practice

Address
119 Gas Plant Road
Rea Clinic-Duquoin
Johnston City, IL 62951
Phone
(618) 542-8702
Fax
(618) 542-8792

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
2007-12-20

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