Individual
JENNIFER LYNNE WHALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1441 N BECKLEY AVE, PHYSICIAN EMERGENCY CARE ASSOC, DALLAS, TX 75203-1201
(214) 942-5733
Mailing address
1441 N BECKLEY AVE, PHYSICIAN EMERGENCY CARE ASSOC, DALLAS, TX 75203-1201
(214) 942-5733
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA06389
TX
363AM0700X
Medical Physician Assistant
PA06389
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291528204
—
TX
Enumeration date
03/15/2010
Last updated
07/10/2013
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