Jara Bachtold

Licensed Practical Nurse · Normal, IL

Individual Active NPI

NPI number 1770239675

Practice location

303 Landmark Dr Ste 2b
Normal, IL 61761-6164
Phone
(309) 808-2388

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NPI record

NPI
1770239675
Entity type
Individual (Type 1)
Enumeration date
March 1, 2022
Last updated
March 1, 2022
Certified
March 1, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Licensed Practical Nurse Primary 164W00000X 043.130912 IL

About Jara Bachtold

Jara Bachtold is a healthcare provider registered in the NPI registry with the primary taxonomy Licensed Practical Nurse (code 164W00000X). The practice location is 303 Landmark Dr Ste 2b, Normal, IL 61761-6164. The NPI number 1770239675 was assigned on March 1, 2022 and the record was last updated on March 1, 2022.

Jara Bachtold lists a license in the registry: #043.130912 (IL) for Licensed Practical Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jara Bachtold?

The NPI number is 1770239675.

What is the phone number of Jara Bachtold?

The phone number listed for the practice location is (309) 808-2388.

Where is Jara Bachtold located?

303 Landmark Dr Ste 2b, Normal, IL 61761-6164.

What is the taxonomy code for Jara Bachtold?

The primary taxonomy code is 164W00000X – Licensed Practical Nurse.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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