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Individual

JENNIFER MICHELLE WHITAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
106 WINSTON WAY, CAMPBELLSVILLE, KY 42718-4953
(270) 789-0034
Mailing address
107 MEMORY LN, BUFFALO, KY 42716-8555
(785) 851-7518

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4050268
KY
363LF0000X
Family Nurse Practitioner
Primary
4050268
KY

Other

Enumeration date
02/09/2026
Last updated
03/13/2026
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