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General NPI Number Information
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NPI Number | 1437215688
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Entity Type | Individual
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Provider Name | JENNIFER A WHITNEY RN, RCS
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Gender | Female
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1601 GEORGE ST
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City | MANITOWOC
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State | WI
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Zip | 54220-6157
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Country | US
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Telephone | 920-860-6875
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Fax |
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Provider Business Mailing Address
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Address Line | 1601 GEORGE ST
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City | MANITOWOC
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State | WI
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Zip | 54220-6157
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Country | US
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Telephone | 920-860-6875
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R154040-4
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | L050623-2
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State | WI
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