Jill Witherow York, RN,CFNP
Individual provider Active NPI Family Nurse Practitioner · Madison, VA
NPI 1891701942 · NPPES record last updated Mar 30, 2009
Key facts
- NPI
- 1891701942
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 0024059556 (VA)
- Practice address
- 1480 N Main St
Madison, VA 22727-3093 - Phone
- (540) 948-6743
- Fax
- (540) 948-4527
- NPI assigned
- Jul 31, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024059556 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Culpeper Medical Associates, LLC | Past | Accepting new patients | |
| Culpeper Specialist Physicians, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024059556 | VA | Yes |
Addresses
Primary practice location
1480 N Main St
Madison, VA 22727-3093
Mailing address
1480 N Main St
Madison, VA 22727-3093
Phone (540) 948-6743
Other providers in Madison, VA
All providers in Madison, VA · Family Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.