Individual
JAMIE PONINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
800 N MAIN ST, ANNA, IL 62906-1665
(618) 833-4456
(618) 833-2371
Mailing address
902 W MAIN ST, WEST FRANKFORT, IL 62896-2210
(618) 326-2772
(618) 937-1440
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043.124705
IL
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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