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NPI Code Detail

MEDICARE: JANICE LYNN WHITLEY

MEDICARE: JANICE LYNN WHITLEY
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
1363LF0000XFamily Nurse Practitioner0024190747VA

General Provider Information

NPI Number : 1245078351
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANICE LYNN WHITLEY
Provider Business Mailing Address
First Line : 4394 PAMPA RD
Second Line :
City : GLOUCESTER
State : VA
Zip : 23061-2780
Country : US
Telephone Number : 804-832-7313
Fax Number :
Provider Business Practice Location Address
First Line : 500 SENTARA CIR STE 105
Second Line :
City : WILLIAMSBURG
State : VA
Zip : 23188-5754
Country : US
Telephone Number : 757-253-5653
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2024
Last Update Date : 02/04/2026

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Directions to “ JANICE LYNN WHITLEY ” Practice Location

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