Individual
ALISSA WHITTAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
113 N MICHIGAN ST, PLYMOUTH, IN 46563-2132
(574) 936-2643
(574) 540-4001
Mailing address
113 N MICHIGAN ST, PLYMOUTH, IN 46563-2132
(574) 936-2643
(574) 540-4001
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
28186867A
IN
363LF0000X
Family Nurse Practitioner
Primary
71004885A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201222850
—
IN
01
—
IN5586003
FNP
IN
Enumeration date
12/06/2013
Last updated
11/05/2025
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