Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. FABIENNE NADEEN WITHERSPOON, NP-C
ActiveFamily Nurse Practitioner · GEORGETOWN, IL
Registration Details
- NPI Number
- 1053734004
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 28, 2014 (12.269505532034 yrs)
- Last Updated
- May 7, 2018
- License
-
209009867 (IL)
Practice Information
- Address
-
712 N MAIN STGEORGETOWN, IL, 618461440Browse IL providers · Browse ZIP 61846
- Phone
- 2172746966
- Fax
- 2176012133
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.