Whitehead, Jenna Marie
Whitehead, Jenna Marie is an individual health care provider with primary practice located at 3106 Outer Dr , Marion IL 62959-5270. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Whitehead, Jenna Marie can be contacted via phone (618) 997-4332.Contact Information
Primary practice address
3106 Outer Dr
Marion IL 62959-5270
Phone: (618) 997-4332
Fax: (618) 351-4857
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 209023902 | Illinois |
Profile Details
| NPI number | 1891452439 |
|---|---|
| LBN Legal business name | Whitehead, Jenna Marie |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 18th, 2021 |
| Last updated | Jun 10th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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