Individual
JENNIFER L GOINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
428 S 36TH ST, QUINCY, IL 62301-5924
(217) 224-6300
Mailing address
1601 OLD SOUTH RIVER RD, SAINT CHARLES, MO 63303-4120
(636) 224-1210
(636) 246-1008
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043120542
IL
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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