Individual
TARRYN KACEY WHORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3412 OFFICE PARK DR, MARION, IL 62959-6477
(618) 993-0404
Mailing address
3412 OFFICE PARK DR, MARION, IL 62959-6477
(618) 993-0404
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209.034489
IL
Other
Enumeration date
01/19/2026
Last updated
01/19/2026
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