| NPI | 1306204896 |
|---|---|
| Former Name | JENNIFER LYNN WHITENER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OK 63127) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 219552) |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2016-01-29 |