Individual
JENNIFER A WHITNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, RCS
Contact information
Practice address
1601 GEORGE ST, MANITOWOC, WI 54220-6157
(920) 860-6875
Mailing address
1601 GEORGE ST, MANITOWOC, WI 54220-6157
(920) 860-6875
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R154040-4
MN
163W00000X
Registered Nurse
—
WI
164W00000X
Licensed Practical Nurse
Primary
L050623-2
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38352600
—
WI
Enumeration date
12/29/2006
Last updated
09/11/2025
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