Individual
ASHLEY M WHITECOTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1700 WILDCAT DR STE A, MARION, IL 62959-1435
(618) 519-9200
(618) 998-0880
Mailing address
109 CALIFORNIA ST, PO BOX 577, CARTERVILLE, IL 62918-0577
(618) 519-9200
(618) 985-4635
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.372415
IL
363LF0000X
Family Nurse Practitioner
Primary
209.018050
IL
Other
Enumeration date
08/24/2018
Last updated
12/11/2020
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