Individual
JENNIFER LYNNE WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
830 W HIGH ST STE 102, LIMA, OH 45801-3972
(419) 222-4045
(419) 228-5665
Mailing address
830 W HIGH ST, ST 102, LIMA, OH 45801-3971
(419) 222-4045
(419) 228-5665
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
131285
OH
208M00000X
Hospitalist Physician
131285
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0223885
—
OH
Enumeration date
04/10/2014
Last updated
07/15/2019
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