Whitaker National Corporation

NPI #1174970909 in Jackson, Kentucky

Provider Information

NPI Number: 1174970909
Entity Type: Organization
Organization Name: Whitaker National Corporation
Primary Specialty: Emergency Medicine
Enumeration Date: May 23, 2016
Last Updated: Jun 19, 2018

Practice Location

Address: 540 JETT DR
City: Jackson
State: Kentucky
ZIP Code: 41339
Phone: (606) 666-6000

Authorized Official

Name: JENNIFER MOORE
Title: CFO
Phone: (800) 242-6711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Emergency Medicine	207P00000X	Primary

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