Individual
MS. FABIENNE NADEEN WITHERSPOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
712 N MAIN ST, GEORGETOWN, IL 61846-1440
(217) 274-6966
(217) 601-2133
Mailing address
712 N MAIN ST, GEORGETOWN, IL 61846-1440
(217) 274-6966
(217) 601-2133
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209009867
IL
Other
Enumeration date
01/28/2014
Last updated
05/07/2018
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