SearchIllinoisAdult Health Nurse Practitioner

Kelly Whitaker, NP

NPI 1386932028 · on the registry since 2011 · sole proprietor

Practice

Address
124 W Main St
Mascoutah, IL 62258
Phone
(186) 402-5572
Fax
(636) 333-4510
Clinicians at this address
2

Registry record

Primary taxonomy
Adult Health Nurse Practitioner
363LA2200X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-11-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois