Jacqueline Therese Wirth, DNP, APRN, CPNP-PC

Pediatric Nurse Practitioner · Sycamore, IL

Individual Active NPI

NPI number 1487312427

Practice location

1680 Mediterranean Dr Ste 107
Sycamore, IL 60178-3193

Phone: (815) 899-0001

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NPI record

NPI: 1487312427
Entity type: Individual (Type 1)
Enumeration date: December 7, 2021
Last updated: December 7, 2021
Certified: December 7, 2021
Sole proprietor: No

Specialties & taxonomy codes

Taxonomy	Code	License	State
Pediatric Nurse Practitioner Primary	`363LP0200X`	209024208	IL

Mailing address

19304 Midland Ave
Mokena, IL 60448-1118

Phone: (815) 685-3572

About Dr. Wirth

Jacqueline Therese Wirth, DNP, APRN, CPNP-PC is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatric Nurse Practitioner (code 363LP0200X). The practice location is 1680 Mediterranean Dr Ste 107, Sycamore, IL 60178-3193. The NPI number 1487312427 was assigned on December 7, 2021 and the record was last updated on December 7, 2021.

Dr. Wirth lists a license in the registry: #209024208 (IL) for Pediatric Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jacqueline Therese Wirth, DNP, APRN, CPNP-PC?

The NPI number is 1487312427.

What is the phone number of Dr. Wirth?

The phone number listed for the practice location is (815) 899-0001.

Where is Dr. Wirth located?

1680 Mediterranean Dr Ste 107, Sycamore, IL 60178-3193.

What is the taxonomy code for Dr. Wirth?

The primary taxonomy code is 363LP0200X – Pediatric Nurse Practitioner.

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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