| Mrs Krysten Taylor Whitehead, APRN FNP-C | |
|
909 W Main St, West Frankfort, IL 62896-2209 | |
| (618) 372-6040 | |
| Not Available |
| Full Name | Mrs Krysten Taylor Whitehead |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 909 W Main St, West Frankfort, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891489886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209027592 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 209027592 (Illinois) | Primary |
| Entity Name | Deaconess Illinois Specialty Clinic, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972210235 PECOS PAC ID: 9830562016 Enrollment ID: O20230321001688 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Krysten Taylor Whitehead, APRN FNP-C 11303 Linck Rd, Marion, IL 62959-6842 Ph: (618) 694-9515 | Mrs Krysten Taylor Whitehead, APRN FNP-C 909 W Main St, West Frankfort, IL 62896-2209 Ph: (618) 372-6040 |
Travis Michael Seddon, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 502 W Saint Louis St Ste 4, West Frankfort, IL 62896 Phone: 618-937-3400 Fax: 618-932-9010 | |
Janalyn Elwood, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 502 W Saint Louis St Ste 4, West Frankfort, IL 62896 Phone: 618-937-3400 Fax: 618-932-9010 | |
Adam Waller, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 502 W Saint Louis St Ste 4, West Frankfort, IL 62896 Phone: 618-937-3400 Fax: 618-997-9324 | |
Kendra Megan Fischer, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 309 W Saint Louis St, West Frankfort, IL 62896 Phone: 618-932-8375 Fax: 618-932-8575 | |
Moya Racquel Cook, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 502 W St Louis St, West Frankfort, IL 62896 Phone: 618-937-3400 Fax: 618-937-3407 | |
Max A Baier, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2553 Ken Gray Blvd, West Frankfort, IL 62896 Phone: 618-932-3937 Fax: 618-932-2734 |