| Doctor Name: | MRS. JANET C WHITWORTH |
| NPI Number: | 1467753459 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, FNP-BC, DNP |
| License Number: | 209.008125 |
| Business Practice Address: | 601 James R Thompson Blvd Bldg D 2015 East Saint Louis, IL - 622011129 |
| Business Phone Number: | 6184826959 |
| Business Fax Number: | 6184828311 |
| Mailing Address: | 601 James R Thompson Blvd, Bldg D 2015 EAST SAINT LOUIS |
| State: | IL |
| Postal Code: | 622011129 |
| Phone Number: | 6184826959 |
| Fax Number: | 6184828311 |
| NPI Enumeration Date: | 11/08/2010 |
| NPI Last Update Date: | 11/08/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 209.008125 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |