Yulandist Jeannie Brown, LPN, LMT
Individual provider Active NPI Licensed Practical Nurse · Ottawa, IL
NPI 1306336359 · NPPES record last updated May 15, 2018
Key facts
- NPI
- 1306336359
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 043.121878 (IL)
- Practice address
- 617 Columbus St
Ottawa, IL 61350 - Phone
- (815) 579-8962
- NPI assigned
- May 15, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043.121878 | IL | MD | Licensed Practical Nurse |
| 227.019508 | IL | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 227.019508 | IL | |
| Licensed Practical Nurse | 164W00000X | 043.121878 | IL | Yes |
Addresses
Primary practice location
617 Columbus St
Ottawa, IL 61350
Mailing address
617 Columbus St
Ottawa, IL 61350-2912
Phone (815) 579-8962
Other providers in Ottawa, IL
- Garth I Brewer
- Brightside Recovery LTD
- Angelica Briones
- Misael S Briones
- Brittany M Jones DPM LLC
- Carol Ruth Buckner
- Doris Burke
- Gail Marie Burke
- Taylor Bushman
- Alison Bute
All providers in Ottawa, IL · Licensed Practical Nurse in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.