NICHOLE WHITWORTH LPN
NPI 1083458046
Licensed Practical Nurse in Anna, IL

Active since June 24, 2024
800 N MAIN ST, ANNA, IL 62906(618) 833-4456(618) 833-2371 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nichole Whitworth Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLE WHITWORTH LPN (NPI 1083458046) is an individual licensed practical nurse in Anna, Illinois, licensed in Illinois (043.113923) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1083458046
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameNICHOLE WHITWORTHCredential: LPN
Location Address800 N MAIN STAnna, IL 62906-1665
Mailing Address902 W Main StWest Frankfort, IL 62896-2210 · (618) 937-6483 · Fax (618) 937-1440
Fax(618) 833-2371
Sole ProprietorNo
Enumeration DateJune 24, 2024
NPPES CertifiedJune 24, 2024
NPI 1083458046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in IL · 043.113923
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
800 N MAIN ST, Anna, IL 62906

Other Names 1

Former Name (1)Nichole Long

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
800 N MAIN ST
ANNA, IL 62906
Emergency Medical Technician, Basic
800 N MAIN ST
ANNA, IL 62906
Registered Nurse
800 N MAIN ST
ANNA, IL 62906
Case Manager/Care Coordinator
800 N MAIN ST
ANNA, IL 62906
Registered Nurse (Addiction (Substance Use Disorder))
800 N MAIN ST
ANNA, IL 62906
Licensed Practical Nurse
800 N MAIN ST
ANNA, IL 62906
Registered Nurse (Addiction (Substance Use Disorder))
800 N MAIN ST
ANNA, IL 62906
Counselor
800 N MAIN ST
ANNA, IL 62906

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nichole Whitworth's NPI number?

The NPI number for Nichole Whitworth is 1083458046. It was assigned to this individual provider in the NPPES registry on June 24, 2024. The provider is also known as Nichole Long.

Where is Nichole Whitworth located?

Nichole Whitworth practices at 800 N Main St, Anna, IL 62906. The listed phone number is (618) 833-4456.

What is Nichole Whitworth's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Nichole Whitworth was last updated on June 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.