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JESSICA WHELAN PMHNP-BC NPI 1033544747


NPI Information

NPI: 1033544747
Provider Name: JESSICA WHELAN, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
702 W CHESTNUT ST
BLOOMINGTON, IL
ZIP 61701
Phone: (309) 557-1400
Get Directions

Jessica Whelan, PMHNP-BC is a psychiatric/mental health nurse practitioner in Bloomington, IL. Jessica Whelan, PMHNP-BC NPI is 1033544747. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

702 W CHESTNUT ST
BLOOMINGTON, IL
ZIP 61701-814
Phone: (309) 557-1400

The NPI 1033544747 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/12/2013 and was last updated on 9/14/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TP2701XPsychologistGroup Psychotherapy277000634ILLINOISNo
2163WA0400XRegistered NurseAddiction (Substance Use Disorder)277000634ILLINOISNo
3163WC1600XRegistered NurseContinuing Education/Staff Development277000634ILLINOISNo
4163WG0000XRegistered NurseGeneral Practice277000634ILLINOISNo
5163WN0800XRegistered NurseNeuroscience277000634ILLINOISNo
61744R1102XSpecialistResearch Study277000634ILLINOISNo
72084P0301XPsychiatry & NeurologyBrain Injury Medicine277000634ILLINOISNo
8363LP0808XNurse PractitionerPsychiatric/Mental Health2013029034MISSOURINo
9364SC2300XClinical Nurse SpecialistChronic Care277000634ILLINOISNo
10364SH1100XClinical Nurse SpecialistHolistic277000634ILLINOISNo
11364SP0810XClinical Nurse SpecialistPsychiatric/Mental Health, Child & Family277000634ILLINOISNo
12364SP0811XClinical Nurse SpecialistPsychiatric/Mental Health, Chronically Ill277000634ILLINOISNo
13364SP0812XClinical Nurse SpecialistPsychiatric/Mental Health, Community277000634ILLINOISNo
14364SP0813XClinical Nurse SpecialistPsychiatric/Mental Health, Geropsychiatric277000634ILLINOISNo
15363LP0808XNurse PractitionerPsychiatric/Mental Health277000634ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1277000634OTHERILLINOISSTATE LICENSE IL
26555912834012OTHERILLINOISSURESCRIPTS
3377000614OTHERILLINOISIL PRESCRIBING LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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