Despain, Caitlen Elizabeth

Despain, Caitlen Elizabeth is an individual health care provider with primary practice located at 610 N Westgate Ave , Jacksonville IL 62650-1152. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Despain, Caitlen Elizabeth can be contacted via phone (217) 243-8455.

Contact Information

Primary practice address
610 N Westgate Ave Jacksonville IL 62650-1152
Phone: (217) 243-8455
Fax: (217) 243-7951
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 209-016174 Illinois

Profile Details

NPI number 1588186084
LBN Legal business name Despain, Caitlen Elizabeth
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2017
Last updated Oct 18th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588186084 NPPES
Illinois Other 209-016174 STATE LICENSE

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