Individual
MRS. JENNIFER ANNE WHITTINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 AUDUBON PLAZA DR, LOUISVILLE, KY 40217-1318
(502) 634-6767
(502) 634-6775
Mailing address
PO BOX 36218, LOUISVILLE, KY 40233-6218
(502) 634-6767
(502) 634-6775
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
3011612
KY
363LG0600X
Gerontology Nurse Practitioner
3011612
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14077316
CAQH
KY
05
—
300025418
—
IN
01
—
3011612
STATE LICENSE
KY
05
—
7100505290
—
KY
Enumeration date
08/02/2017
Last updated
09/23/2022
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