MEDICARE: JENNIFER MICHELLE WHIPP DO

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	208000000X	Pediatrics Physician	34.016358	OH

General Provider Information

NPI Number	:	1992334171
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER MICHELLE WHIPP DO

Provider Business Mailing Address
First Line	:	6503 E BROAD ST STE 100
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43213-1693
Country	:	US
Telephone Number	:	614-434-5437
Fax Number	:	614-434-5438

Provider Business Practice Location Address
First Line	:	6503 E BROAD ST STE 100
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43213-1693
Country	:	US
Telephone Number	:	614-434-5437
Fax Number	:	614-434-5438

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

Provider Enumeration Date	:	04/08/2020
Last Update Date	:	07/28/2023

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