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
Fax: (618) 351-4857
Website:

Health care specialties

SpecialtyCodeLicense #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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