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

Stephanie Nicole Whitlock, NP

Individual provider Nurse Practitioner · NPI 1588222608

Stephanie Nicole Whitlock, NP is a Nurse Practitioner in Carbondale, Illinois. Qualified in 2019, 7 years ago. Practices with Southern Illinois Hospital Services, a 12-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2019
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

300 W Oak St
Carbondale, IL 62901-1400
Phone: (618) 536-6621
Fax: (618) 453-1102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2553 Ken Gray Blvd, West Frankfort, IL 62896-4174 — (618) 932-3937

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209019467 (IL)
Nurse Practitioner Taxonomy 363L00000X · Licence 209019467 (IL)

Record details

NPI number1588222608
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJune 4, 2019
Last updated in NPPESOctober 7, 2025
Certification dateOctober 7, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Southern Illinois Hospital Services — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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