Individual
JENNIFER WHALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
851 S RIDGE TRL, CLARKSVILLE, TN 37043-8272
(585) 764-0049
Mailing address
851 S RIDGE TRL, CLARKSVILLE, TN 37043-8272
(585) 764-0049
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
0000000137
TN
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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