CAITLEN ELIZABETH DESPAIN


Address: 610 N Westgate Ave, Jacksonville, IL 62650-1152
Phone: 2172438455

CAITLEN ELIZABETH DESPAIN (NPI# 1588186084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588186084
Entity Type Individual
Full Name CAITLEN ELIZABETH DESPAIN
Credential FNP-BC
Practice Address 610 N Westgate Ave
Jacksonville
IL 62650-1152
Practice Telephone 2172438455
Practice Fax Number 2172437951
Mailing Telephone 2172438455
Mailing Fax Number 2172437951
Enumeration Date 2017-07-17
Last Update Date 2019-10-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LX0001X Nurse Practitioner
Specialization: Obstetrics & Gynecology
209-016174 IL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL STATE LICENSE 209-016174 01

Office Location

Street Address 610 N WESTGATE AVE
City JACKSONVILLE
State IL
Zip Code 62650-1152

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598727620 Jeffrey L Olejnik Obstetrics & Gynecology 610 N Westgate Ave, Jacksonville, IL 62650 2006-04-04
1053804443 Siu Physicians & Surgeons, Inc Clinic/Center 610 N Westgate Ave, Jacksonville, IL 62650-1152 2018-06-11
1780726430 Alexander M Hrynewych Obstetrics & Gynecology 610 N Westgate Ave, Jacksonville, IL 62650 2007-02-12
1619993565 Tracy Hendricks Family Medicine 610 N Westgate Ave, Jacksonville, IL 62650-1152 2006-07-14

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NPI Name Taxonomy Address Enumeration
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1811391782 Rodney E. Overstreet Hearing Instrument Specialist 1521 W. Walnut, Jacksonville, IL 62650 2014-10-21
1407979818 Jan Ala Speech-Language Pathologist 1111 W Morton, Speechworks, Jacksonville, IL 62650 2007-04-09
1083787592 Eldon G Barrowes Dds & Assoc PC Dentist 1515 West Walnut, Bldg #3, Jacksonville, IL 62650 2006-11-15
1194895979 Joseph J Kozma Internal Medicine 1440 West Walnut, Jacksonville, IL 62650 2006-11-08
1740350529 Susan Weller Dentist 1614 West Lafayette Avenue, Jackson, IL 62650 2006-11-08
1659467793 Shawn M Fry Family Medicine 610 N. Westgate, Jacksonville, IL 62650 2006-10-05
1518050061 Ward Richard Dunseth II Nurse Anesthetist, Certified Registered 1400 W Walnut, Jacksonville, IL 62650 2006-10-02
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Taxonomy Information

Taxonomy Code 363LX0001X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Obstetrics & Gynecology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962895326 University of Florida Jacksonville Physicians Inc Nurse Practitioner 15255 Max Leggett Pkwy Ste 4600, Ufjp - Uf Health Birth Center, Jacksonville, FL 32218-7213 2015-03-10
1811324965 Dalia Philbeck Nurse Practitioner 15255 Max Leggett Pkwy Ste 4400, Jacksonville, FL 32218-7273 2013-10-03
1386856649 Victoria L Kell Nurse Practitioner 247 Memorial Dr, Jacksonville, NC 28546-6333 2007-05-07
1033284922 Maureen C Baxter Nurse Practitioner 815 Plaza, Jacksonville, FL 32233 2006-11-24
1477625457 Evelyn Knoblock Brady Nurse Practitioner 4311 Salisbury Rd, Jacksonville, FL 32216-6123 2006-11-14
1982628798 Glenda A. Phillips Nurse Practitioner 8075 Gate Pkwy W Ste 305, Jacksonville, FL 32216-3685 2006-07-26
1831145713 Nancy R Robinson Nurse Practitioner 2933 University Blvd. North, Jacksonville, FL 32211 2006-05-25
1437104692 Donna S Price Nurse Practitioner 5300 North Pearl Street, Jacksonville, FL 32208 2006-05-24
1538773304 Joymarie Jennifer Steely Nurse Practitioner 13241 Bartram Park Blvd Unit 1509, Jacksonville, FL 32258-5231 2020-08-31
1417297854 Katelyn Lee Bryant Nurse Practitioner 14546 Old Saint Augustine Rd Ste 305&311, Jacksonville, FL 32258-5468 2013-02-21
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Competitor

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City JACKSONVILLE
Zip Code 62650

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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