Whitney, Jennifer A

Whitney, Jennifer A is an sole proprietor health care provider with primary practice located at 1601 George St , Manitowoc WI 54220-6157. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Licensed Practical Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Whitney, Jennifer A can be contacted via phone (920) 860-6875.

Contact Information

Primary practice address
1601 George St Manitowoc WI 54220-6157
Phone: (920) 860-6875
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R154040-4 Minnesota
Nursing Service Providers / Licensed Practical Nurse 164W00000X L050623-2 Minnesota
Nursing Service Providers / Registered Nurse 163W00000X Wisconsin

Profile Details

NPI number 1437215688
LBN Legal business name Whitney, Jennifer A
Credentials RN, RCS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2006
Last updated Jul 9th, 2007 - about 18 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 1437215688 NPPES
Wisconsin MEDICAID 38352600

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