Individual
JESSICA RENEE WHITING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1935 W MAIN ST, SALEM, VA 24153-3109
(540) 387-0441
Mailing address
1935 W MAIN ST, SALEM, VA 24153-3109
(540) 387-0441
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0116023949
VA
Other
Enumeration date
06/23/2011
Last updated
12/10/2020
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