Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 46460 | KY |
N | 208600000X | Surgeon | 46460 | KY |
N | 208200000X | Surgeon | R2402 | KY |
N | 208600000X | Surgeon | R2402 | KY |
Y | 2086X0206X | Surgical Oncologist | 286633 | NY |
NPI | 1104145101 |
---|---|
Provider Name | Dr. Jennifer Marie Whittington |
First Address | New York, NY 10044-0214 |
Second Address | Lexington, KY 40536 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2010 |
Last Update Date | 02/04/2021 |