Healthcare Provider Details

I. General information

NPI: 1992334171
Provider Name (Legal Business Name): JENNIFER MICHELLE WHIPP DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JENNIFER MICHELLE NEUMEYER DO

II. Dates (important events)

Enumeration Date: 04/08/2020
Last Update Date: 07/28/2023
Certification Date: 07/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6503 E BROAD ST STE 100
COLUMBUS OH
43213-1693
US

IV. Provider business mailing address

6503 E BROAD ST STE 100
COLUMBUS OH
43213-1693
US

V. Phone/Fax

Practice location:
  • Phone: 614-434-5437
  • Fax: 614-434-5438
Mailing address:
  • Phone: 614-434-5437
  • Fax: 614-434-5438

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number34.016358
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: