Individual
MS. JILL RENEE WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D., C.D
Contact information
Practice address
411 W TIPTON ST, SEYMOUR, IN 47274-2363
(812) 522-2349
(812) 523-0695
Mailing address
411 W TIPTON ST, SEYMOUR, IN 47274-2363
(812) 522-2349
(812) 523-0695
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37001672A
IN
Other
Enumeration date
10/27/2006
Last updated
10/25/2016
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