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

Tarryn Kacey Whorton

Individual provider Pediatric Nurse Practitioner · NPI 1124987821

Tarryn Kacey Whorton is a Nurse Practitioner in Marion, Illinois. Graduated from Saint Louis University School of Medicine in 2018, 8 years ago. Licensed in Illinois.

Years since qualifying
8
Trained at
Saint Louis University School of Medicine
Licensed in
IL
In the registry since
2026

Practice location Address checks out

3412 Ofc Park DR
Marion, IL 62959-6477
Phone: (618) 993-0404
Show map & directions

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

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 209.034489 (IL)

Record details

NPI number1124987821
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 19, 2026
Last updated in NPPESJanuary 19, 2026
Certification dateJanuary 19, 2026
Mailing address3412 Office Park Dr, Marion, IL 62959-6477

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated

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