Individual
JENNIFER LINDSAY WHITMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
321 N NELLIS BLVD STE 110, LAS VEGAS, NV 89110-5416
(702) 438-4003
(702) 438-0555
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0102203793
VA
207R00000X
Internal Medicine Physician
Primary
DO2579
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0102203793
VIRGINIA MEDICAL LICENSE
VA
05
—
1841566023
—
NV
01
—
DO2579
STATE LICENSE
NV
Enumeration date
04/01/2012
Last updated
06/10/2024
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