Jo Bates, LPN
Individual provider Active NPI Licensed Practical Nurse · Lincoln, IL
NPI 1730501529 · NPPES record last updated Jan 13, 2014
Key facts
- NPI
- 1730501529
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 043073299 (IL)
- Practice address
- 1096 1350TH St
Lincoln, IL 62526 - Phone
- (217) 735-5581
- NPI assigned
- Jan 13, 2014
- 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 |
|---|---|---|---|
| 043073299 | IL | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 043073299 | IL | Yes |
Addresses
Primary practice location
1096 1350TH St
Lincoln, IL 62526
Mailing address
1641 N Wolfe St
Springfield, IL 62702
Phone (217) 622-6877
Other providers in Lincoln, IL
- Arc at Lincoln LLC
- Norine Ella Ashley
- Edmund Au
- Amy Irene Bailey
- Emily Taylor Barr
- Kathleen Elizabeth Bautista
- Crystal Bell
- Ashley N Bennett
- Erica Beutel
- Cynthia D Bivin
All providers in Lincoln, 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 Jan 13, 2014. 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.