IndividualActive
Fabienne Witherspoon, NP-C
NPI 1053734004 · Family Nurse Practitioner · Georgetown, IL
Provider details
- NPI number
- 1053734004
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 209009867 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
712 N Main St
Georgetown, IL 61846-1440
Phone: (217) 274-6966
Fax: (217) 601-2133
Approximate (ZIP-level) locationGet directions
Mailing address
712 N Main St
Georgetown, IL 61846-1440
Registry dates
- Enumerated
- 2014-01-28
- Last updated
- 2018-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.