DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANA L WHITEHEAD, PA-C

Active

SHANA L WHITEHEAD, PA-C is a Physician Assistant healthcare provider located in JACKSONVILLE, Illinois. NPI 1942276662 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · JACKSONVILLE, IL

Registration Details

NPI Number
1942276662
Provider Type
Individual
Gender
Female
NPI Issued
Feb 23, 2006 (20.510764250868 yrs)
Last Updated
Jul 8, 2007

Practice Information

Address
800 W STATE ST
JACKSONVILLE, IL, 626501910
Browse IL providers · Browse ZIP 62650
Phone
2172439471
Fax
2172435359
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in JACKSONVILLE, IL

Name Credential NPI
MICHAEL W. KING P.A.-C. 1063503787
KABLE MAY PA 1922623321
ZACHARY HUMPHRESS 1942809330
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.