Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Jonathan Lee Mattingly, LPN

Individual provider Licensed Practical Nurse · NPI 1154057404

Mr. Jonathan Lee Mattingly, LPN is a Licensed Practical Nurse in Marion, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2022
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

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Practice location Address checks out

11531 Sunderland Rd # A
Marion, IL 62959-8274
Phone: (618) 534-3624
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 043.118516 (IL)

Record details

NPI number1154057404
Entity typeIndividual (Type 1)
GenderMale
Credentials LPN
Sole proprietorYes
NPI enumeratedJuly 28, 2022
Last updated in NPPESAugust 4, 2022
Certification dateAugust 4, 2022

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