Individual
JESSICA RAE WHITMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
301 W 2ND ST, OTTUMWA, IA 52501-2506
(641) 435-1845
Mailing address
209 16TH AVE, GRINNELL, IA 50112-1068
(319) 560-2016
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
C-121201
IA
363LP0200X
Pediatric Nurse Practitioner
Primary
C121201
IA
Other
Enumeration date
10/05/2010
Last updated
01/11/2022
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