Jacqueline Elizabeth Witherell

Dentist · Effingham, IL

Individual Active NPI

NPI number 1023741873

Practice location

1200 Network Centre Dr Ste 2
Effingham, IL 62401-4637
Phone
(217) 427-8058

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NPI record

NPI
1023741873
Entity type
Individual (Type 1)
Enumeration date
July 7, 2022
Last updated
July 7, 2022
Certified
July 7, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DN27159 FL

About Jacqueline Witherell

Jacqueline Elizabeth Witherell is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1200 Network Centre Dr Ste 2, Effingham, IL 62401-4637. The NPI number 1023741873 was assigned on July 7, 2022 and the record was last updated on July 7, 2022.

Jacqueline Witherell lists a license in the registry: #DN27159 (FL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jacqueline Elizabeth Witherell?

The NPI number is 1023741873.

What is the phone number of Jacqueline Witherell?

The phone number listed for the practice location is (217) 427-8058.

Where is Jacqueline Witherell located?

1200 Network Centre Dr Ste 2, Effingham, IL 62401-4637.

What is the taxonomy code for Jacqueline Witherell?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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