person
Mrs. Jennifer Lynn Whitaker, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in West Plains, Missouri
NPI 1265732721

Jennifer Lynn Whitaker is a Psychiatric/Mental Health Nurse Practitioner based in West Plains, MO and is specialized in Psychiatric/Mental Health. Jennifer Lynn Whitaker practices in West Plains, MO and has the professional credentials of PMHNP-BC. The NPI Number for Jennifer Lynn Whitaker is 1265732721 and holds a License No. 2010031570 (Missouri).

The current practice location address for Jennifer Lynn Whitaker is 1211 Porter Wagoner Blvd # 23, West Plains, MO and can be reached out via phone at 417-257-6762 and via fax at 417-257-5875.

Location: 1211 Porter Wagoner Blvd # 23, West Plains, MO, 65775-1100
person
Provider Profile Details
NPI Number
1265732721
Provider Name
Jennifer Lynn Whitaker
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
1211 Porter Wagoner Blvd # 23, West Plains, MO, 65775-1100
Phone Number
417-257-6762
Fax Number
417-257-5875
Provider Enumeration Date
10/29/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
207101758 05 MO
1265732721 05 MO
institution
Provider Business Practice Location Address Details
Address
1211 Porter Wagoner Blvd # 23
City
State
Zip
65775-1826
Phone Number
417-257-6762
Fax Number
417-257-5875
person
Provider Business Mailing Address Details
Address
1211 Porter Wagoner Blvd # 23
City
State
Zip
65775-1826
Phone Number
417-257-6762
Fax Number
417-257-5875
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
2010031570 (Missouri)
Definition
Definition to come...
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