MEDICARE: JESSE WHISENANT

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	376J00000X	Homemaker

General Provider Information

NPI Number	:	1346803160
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSE WHISENANT

Provider Business Mailing Address
First Line	:	1901 AMNESTY DR
Second Line	:
City	:	NORTH PORT
State	:	FL
Zip	:	34288-6817
Country	:	US
Telephone Number	:	941-312-1181
Fax Number	:

Provider Business Practice Location Address
First Line	:	1901 AMNESTY DR
Second Line	:
City	:	NORTH PORT
State	:	FL
Zip	:	34288-6817
Country	:	US
Telephone Number	:	941-312-1181
Fax Number	:

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

Provider Enumeration Date	:	04/17/2019
Last Update Date	:	04/17/2019

Similar Medicare Providers

1114292182 — NICHELLE L SMALL
Practice Location Address:

21 W OWENS AVE , 134
NORTH LAS VEGAS, NV
89030-6817

Practice Phone: 702-399-5466
Practice Fax:

1992100564 — MS. LATWANSHREE QUEEN KIDD
Practice Location Address:

21 W OWENS AVE
NORTH LAS VEGAS, NV
89030-6817

Practice Phone: 323-817-8558
Practice Fax:

1801253968 — MR. RONALD WATSON
Practice Location Address:

21 W OWENS AVE , APARTMENT 304
NORTH LAS VEGAS, NV
89030-6817

Practice Phone: 702-271-6295
Practice Fax:

1366811556 — JEAN MARIE SALIEN
Practice Location Address:

6817 NW GRANGER AVE
PORT ST LUCIE, FL
34983-1306

Practice Phone: 772-919-5121
Practice Fax:

1427428218 — SALIEN ADULT FAMILY CARE HOME
Practice Location Address:

6817 NW GRANGER AVE
PORT ST LUCIE, FL
34983-1306

Practice Phone: 772-919-5121
Practice Fax:

1114556834 — STEPHANIE PATRYCE COLEMAN
Practice Location Address:

3003 HOWARD ST
PORT TOWNSEND, WA
98368-6817

Practice Phone: 415-820-1512
Practice Fax:

Directions to “ JESSE WHISENANT ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.