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Individual

MRS. JENNIFER LYNN WHITAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
1211 PORTER WAGONER BLVD # 23, WEST PLAINS, MO 65775-1826
(417) 257-6762
(417) 257-5875
Mailing address
PO BOX 1100, WEST PLAINS, MO 65775-1100
(417) 257-6036

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2010031570
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1265732721
MO
05
207101758
MO
Enumeration date
10/29/2010
Last updated
07/21/2022
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