Individual
MS. JAIME LOU WHITEAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2861 S DELANEY AVE, STE B, ORLANDO, FL 32806-2806
(407) 472-5095
(865) 777-0910
Mailing address
2861 S DELANEY AVE, STE B, ORLANDO, FL 32806-2806
(407) 472-5095
(865) 777-0910
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1108102
KY
367500000X
Certified Registered Nurse Anesthetist
14271
TN
367500000X
Certified Registered Nurse Anesthetist
4721A
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP1512002
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430045987
RAILROAD MEDICARE
FL
01
—
G1260Z
BLUE SHIELD OF FL
FL
Enumeration date
09/06/2006
Last updated
06/04/2014
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