Healthcare Provider Details

I. General information

NPI: 1730091430
Provider Name (Legal Business Name): JENNIFER WHALEY PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 FLORIDA PARK DR N STE C
PALM COAST FL
32137-3893
US

IV. Provider business mailing address

10 FLORIDA PARK DR N STE C
PALM COAST FL
32137-3893
US

V. Phone/Fax

Practice location:
  • Phone: 386-225-4525
  • Fax:
Mailing address:
  • Phone: 386-225-4525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER WHALEY
Title or Position: OWNER
Credential:
Phone: 386-523-4525