Individual provider · Type 1 NPI

Jenna Marie Whitehead, NP

Nurse Practitioner · Marion, IL

NPI number 1891452439 Active

Practice location

3106 Outer Dr
Marion, IL 62959-5270

Fax (618) 351-4857

Mailing address

PO Box 3988
Carbondale, IL 62902-3988

Other practice locations

  • 405 Rushing Dr, Herrin, IL 62948-3730 · (618) 993-3300
  • 502 W Saint Louis St Ste 400, West Frankfort, IL 62896-1968 · (618) 937-3400
  • 117 E Clark St, Harrisburg, IL 62946-2702 · (618) 252-8625
  • 2601 W Main St, Carbondale, IL 62901-1031 · (618) 549-5361
  • 1007 US Highway 45 N, Eldorado, IL 62930-3767 · (618) 273-7723

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209023902 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1891452439

Jenna Marie Whitehead, NP's National Provider Identifier is 1891452439, issued on Nov 18, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Marion, IL. The record was last updated on Jun 10, 2025.