Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacqueline Deffenbaugh, APN, WHNP

Individual provider Women's Health Nurse Practitioner · NPI 1174535306

Jacqueline Deffenbaugh, APN, WHNP is a Nurse Practitioner in Bloomington, Illinois. Qualified in 1995, 31 years ago. Practices with Advanced Womens Healthcare SC, an 8-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
31
Licensed in
IL
In the registry since
2006
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.
WHNP — Women's Health Nurse Practitioner
A nurse practitioner specialising in women's health.

See every abbreviation used in this directory →

Practice location Address checks out

2304 Stern Dr
Bloomington, IL 61704-4487
Phone: (309) 663-0411
Fax: (309) 662-2018
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence 277000799 (IL)

Record details

NPI number1174535306
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN , WHNP
Sole proprietorNo
NPI enumeratedAugust 13, 2006
Last updated in NPPESApril 22, 2025
Certification dateApril 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Advanced Womens Healthcare Sc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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