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Individual

MR. JAMES DANIEL WHALEY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
912 PARK AVE, IRONTON, OH 45638-1596
(740) 532-1100
Mailing address
PO BOX 1595, ASHLAND, KY 41105-1595
(606) 408-9571

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3017707
KY
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0031207
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0489840
OH
05
7100819180
KY
Enumeration date
04/22/2022
Last updated
07/22/2022
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