Individual
MRS. JESSICA WHITMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
5503 S CONGRESS AVENUE SUITE 204, ATLANTIS, FL 33462
(561) 410-5110
(856) 433-6201
Mailing address
7402 HEATHLEY DRIVE, LAKE WORTH, FL 33467
(856) 912-1173
(610) 226-6201
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00342800
NJ
363A00000X
Physician Assistant
Primary
PA9109550
FL
Other
Enumeration date
08/15/2014
Last updated
03/07/2019
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