JACQUELINE THERESE WIRTH DNP APRN CPNP-PC NPI 1487312427

NPI Information

NPI: 1487312427
Provider Name: JACQUELINE THERESE WIRTH, DNP, APRN, CPNP-PC
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
1680 MEDITERRANEAN DR STE 107
SYCAMORE, IL
ZIP 60178
Phone: (815) 899-0001
Get Directions

Jacqueline Therese Wirth, DNP, APRN, CPNP-PC is a pediatrics nurse practitioner in Sycamore, IL. Jacqueline Therese Wirth, DNP, APRN, CPNP-PC NPI is 1487312427. 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:

1680 MEDITERRANEAN DR STE 107
SYCAMORE, IL
ZIP 60178-193
Phone: (815) 899-0001

The enumeration date for this NPI number is 12/7/2021 and was last updated on 12/7/2021.

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
1	363LP0200X	Nurse Practitioner	Pediatrics	209024208	ILLINOIS	Yes

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

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »