Individual
JENNIFER VITAL WHITFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1045 US HIGHWAY 331 S, DEFUNIAK SPRINGS, FL 32435-3379
(850) 892-3366
Mailing address
1005 MAR WALT DR, FORT WALTON BEACH, FL 32547-6707
(850) 863-8150
(850) 863-4152
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
021561
PR
208D00000X
General Practice Physician
Primary
ACN1230
FL
Other
Enumeration date
01/05/2020
Last updated
09/02/2025
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