Jill Rene Whitlock, F.N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209010355 Issued in IL

Practice address

131 Saundersville Rd
Suite 160
Hendersonville, TN 37075-8903

Phone

(615) 824-3737

Fax

(615) 452-8545

NPI assigned

May 14, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455840000000",
    "number": "1750727004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PROFESSIONAL DR",
            "address_2": "SUITE B",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620025067",
            "telephone_number": "618-465-7177",
            "fax_number": "618-465-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 SAUNDERSVILLE RD",
            "address_2": "SUITE 160",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370758903",
            "telephone_number": "615-824-3737",
            "fax_number": "615-452-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLOCK",
        "first_name": "JILL",
        "middle_name": "RENE",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-14",
        "last_updated": "2016-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209010355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS DEPARTMENT OF PROFESSIONAL REGULATION",
            "identifier": "209010355",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaliyah Marie White
• Benjamin James White, DPT
• Rickie Leigh White, CRNA
• Henry Tre'Shaun Whitfield
• Rochelle Annette Whitley, MA, BCBA, LBA
• Mackenzie Whittemore
• Makayla Whittemore
• Nancy Whittington, CRNA
• Andrew Everett Wicke, D.M.D.
• Wesley Wier

• Family Nurse Practitioner in Hendersonville, TN
• Providers in Hendersonville, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.