Whitaker, Jessica

Whitaker, Jessica is an individual health care provider with primary practice located at 858 Eastern Byp , Richmond KY 40475-2512. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Whitaker, Jessica can be contacted via phone (859) 626-0072.

Contact Information

Primary practice address
858 Eastern Byp Richmond KY 40475-2512
Phone: (859) 626-0072
Fax: (859) 626-9684
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1548570013
LBN Legal business name Whitaker, Jessica
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2010
Last updated Jan 17th, 2024 - about 2 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 1548570013 NPPES
Kentucky MEDICAID 7100150660

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