Whitfill, Jennifer

Whitfill, Jennifer is an individual health care provider with primary practice located at 2500 W Reynolds St , Pontiac IL 61764-9774. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Whitfill, Jennifer can be contacted via phone (815) 842-3633.

Contact Information

Primary practice address
2500 W Reynolds St Pontiac IL 61764-9774
Fax: (815) 844-6309
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 041-331318 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209-007683 Illinois

Profile Details

NPI number 1952537797
LBN Legal business name Whitfill, Jennifer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2009
Last updated Oct 13th, 2010 - about 16 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1952537797 NPPES
Illinois Other 833230 MEDICARE GROUP #

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