Whittaker, Jennifer M

Whittaker, Jennifer M is an individual health care provider with primary practice located at 10 Graham Rd W , Ithaca NY 14850-1055. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Whittaker, Jennifer M can be contacted via phone (607) 257-2323.

Contact Information

Primary practice address
10 Graham Rd W Ithaca NY 14850-1055
Phone: (607) 257-2323
Fax: (607) 266-7341
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F332306 1 New York

Profile Details

NPI number 1245212968
LBN Legal business name Whittaker, Jennifer M
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Jul 8th, 2007 - about 17 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 1245212968 NPPES
Other 000915166001 HEALTHNOW
MEDICAID 01866260 HEALTHNOW

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