Shana L Whitehead, PA-C

NPI #1942276662 in Jacksonville, Illinois

Provider Information

NPI Number: 1942276662
Entity Type: Individual
Name: Shana L Whitehead, PA-C
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Feb 23, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 800 W STATE ST
City: Jacksonville
State: Illinois
ZIP Code: 62650-1910
Phone: (217) 243-9471

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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