Individual
JORDAN WHITNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 HOSPITAL DR, COLUMBIA, MO 65201-5276
(573) 882-8907
Mailing address
3 HOSPITAL DR, COLUMBIA, MO 65201-5276
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/28/2026
Last updated
04/28/2026
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