Individual
JAMIE WHITING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
95 LEMPA RD, HOLLAND, PA 18966-2413
(267) 918-5892
(267) 288-5639
Mailing address
95 LEMPA RD, HOLLAND, PA 18966-2413
(267) 918-5892
(267) 288-5639
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
RN554960
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033588900001
—
PA
Enumeration date
04/24/2019
Last updated
04/24/2019
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