WHITNEY BROCK


Address: 1005 Broadway St, Quincy, IL 62301-2834
Phone: 2172231200

WHITNEY BROCK (NPI# 1164023636) 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) 1164023636
Entity Type Individual
Full Name WHITNEY BROCK
Practice Address 1005 Broadway St
Quincy
IL 62301-2834
Mailing Address 3615 High Point Dr
Quincy
IL 62305-8466
Practice Telephone 2172231200
Enumeration Date 2020-11-02
Last Update Date 2020-11-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
209021470 IL Physician Assistants & Advanced Practice Nursing Providers

Other Providers WHITNEY BROCK

NPI Name Taxonomy Address Enumeration
1215454418 Whitney Barrier Brock Registered Nurse 100 Maxwell Dr, Vicksburg, MS 39180-4476 2017-08-28
1952771370 Whitney Wardlaw Brock Registered Nurse 3020 Childrens Way, Mc 5008, San Diego, CA 92123-4223 2015-09-28
1356728935 Whitney Brock Family Medicine 5750 Pineland Dr # 150, Dallas, TX 75231-5300 2015-05-02

Office Location

Street Address 1005 BROADWAY ST
City QUINCY
State IL
Zip Code 62301-2834

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194729087 Mary F Barthel Internal Medicine 1005 Broadway St, Quincy, IL 62301-2834 2005-06-08
1861093528 Kayla Cathleen Fletcher Pharmacist 1005 Broadway St, Quincy, IL 62301-2834 2020-11-07
1124629035 Carla Sue Smith Clinical Nurse Specialist 1005 Broadway St, Quincy, IL 62301-2834 2020-11-06
1851918635 Mitchell Andrew Coval Nurse Anesthetist, Certified Registered 1005 Broadway St, Quincy, IL 62301-2834 2020-06-29
1699392415 Jaryn S Black Nurse Practitioner 1005 Broadway St, Quincy, IL 62301-2834 2020-06-27
1326677535 Angie Rose Nurse Practitioner 1005 Broadway St, Quincy, IL 62301-2834 2020-04-08
1386274843 Lisa Marie Orton Nurse Practitioner 1005 Broadway St, Quincy, IL 62301-2834 2020-01-23
1497393847 Benjamin Nash Nurse Anesthetist, Certified Registered 1005 Broadway St, Quincy, IL 62301-2834 2019-12-17
1851938476 Nichole Suzanne Stanley Nurse Practitioner 1005 Broadway St, Quincy, IL 62301-2834 2019-12-02
1871143792 Nathan Haws Nurse Anesthetist, Certified Registered 1005 Broadway St, Quincy, IL 62301-2834 2019-09-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356969471 Lutheran Child and Family Service of Illinois Foster Care Agency 1400 N. 30th St, Quincy, IL 62301 2020-07-07
1134749716 Bethany Nicole Jumps Pharmacist Broadway St & N 11th St, Quincy, IL 62301 2020-04-23
1043844293 S.crider Construction An Supply Corp. Contractor 529 Woodbridge Dr., Quincy, IL 62301 2020-02-26
1245862002 Quincy Physicians & Surgeons Clinic, Sc Clinic/Center 3301 Broadway St., Quincy, IL 62301 2020-02-10
1043851488 West Central Illinois Nutrition In Home Supportive Care 639 York St. Room 333, Quincy, IL 62301 2019-10-07
1861986549 Quincy Physicians & Surgeons Clinic, Sc Internal Medicine 3347 Broadway St, Quincy, IL 62301 2018-06-18
1194255083 Michael Andrew Behrens Nurse Practitioner Broadway and 11th Street, Quincy, IL 62301 2017-06-14
1770987323 Kirsty Yvonne Reed Counselor 205 S. 24th Street, Chaddock, Quincy, IL 62301 2014-10-10
1114234499 Dale D. Shahan Dds Ltd Dentist 636 Hampshire Suite 102, Quincy, IL 62301 2010-09-08
1730314071 James D Kaufmann Pharmacist 14th & Broadway, Quincy, IL 62301 2009-05-15
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053910257 Lauren Michele Flynn Nurse Practitioner 173 Sumner St, Quincy, MA 02169-7003 2020-10-20
1447867601 Caitlin Lynch Nurse Practitioner 41 Pilgrim Rd, Quincy, MA 02169-1210 2020-09-30
1881202380 Julie Ann Dorgan Nurse Practitioner 11 Lee St, Quincy, MA 02169-2830 2020-07-21
1386265551 Alexis Schantz Nurse Practitioner 4800 Maine St Ste 48-108, Quincy, IL 62305-5875 2020-04-29
1346884459 Laurie Ann Bohne Nurse Practitioner 1229 Spring Lake Rd, Quincy, IL 62305-7763 2019-10-31
1497305486 Kristina Anele Jarvis Nurse Practitioner 2 Hancock St Apt 208, Quincy, MA 02171-1760 2019-09-12
1699330399 Amanda Hubner Nurse Practitioner 1707 N 12th St Bldg 29m, Quincy, IL 62301-1355 2019-05-08
1356813398 Deann L Isherwood Nurse Practitioner 1250 Hancock St Fl 3, Quincy, MA 02169-4339 2018-12-31
1952813073 Bing Xiao Nurse Practitioner 142 Quincy Shore Dr Unit 152, Quincy, MA 02171-2924 2017-10-30
1366960130 Jessica Elizabeth Althide Nurse Practitioner 927 Broadway St Ste G31, Quincy, IL 62301-2724 2017-08-31
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Competitor

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City QUINCY
Zip Code 62301

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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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