Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | CNM067 | NC |
NPI | 1144492711 |
---|---|
Provider Name | Jewell Whitmer |
First Address | Raleigh, NC 27604-0010 |
Second Address | Cary, NC 27518-7420 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2008 |
Last Update Date | 14/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
002419079001 | UNITED HEALTHCARE (01) | NC |
015PN | BLUE CROSS GROUP NUMBER (01) | NC |
11351 | BLUE CROSS BLUE SHIELD (01) | NC |
208391 | UNITED HEALTHCARE GROUP I (01) | |
7000091 | (05) | NC |