Individual
JENNIFER KINNEY WHITNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MA, CPNP
Contact information
Practice address
360 COLBORNE ST. S., DEPT: 4TH FLOOR THIRD PARTY BILLING, SAINT PAUL, MN 55102
(651) 744-2109
Mailing address
360 COLBORNE ST, DEPT: 4TH FLOOR THIRD PARTY BILLING, SAINT PAUL, MN 55102-3299
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
R 165538-6
MN
363LS0200X
School Nurse Practitioner
Primary
165538-6
MN
Other
Enumeration date
09/16/2011
Last updated
04/15/2026
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