MEDICARE: JEWELL ELIZABETH WHITMER CNM, PMHNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	176B00000X	Midwife	45	NC
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	5022600	NC
3	163W00000X	Registered Nurse	237939	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	208391	OTHER		UNITED HEALTHCARE GROUP I
2	002419079001	OTHER	NC	UNITED HEALTHCARE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	015PN	OTHER	NC	BLUE CROSS GROUP NUMBER
5	11351	OTHER	NC	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1144492711
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEWELL ELIZABETH WHITMER CNM, PMHNP

Provider Business Mailing Address
First Line	:	144 E KING ST UNIT 1324
Second Line	:
City	:	HILLSBOROUGH
State	:	NC
Zip	:	27278-0438
Country	:	US
Telephone Number	:	919-275-5927
Fax Number	:	866-632-2980

Provider Business Practice Location Address
First Line	:	101 HOLLY CREEK RD STE 202
Second Line	:
City	:	MORRISVILLE
State	:	NC
Zip	:	27560-9777
Country	:	US
Telephone Number	:	919-235-6480
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2008
Last Update Date	:	01/27/2026

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