Doctor Name: | DR. JESSICA A. WHITTLE |
NPI Number: | 1194976704 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | TRN11589 |
Business Practice Address: | 2525 Desales Avenue Chattanooga, TN - 37404 |
Business Phone Number: | 4236970014 |
Business Fax Number: | 4236486280 |
Mailing Address: | 725 Glenwood Drive, Suite E-487 CHATTANOOGA |
State: | TN |
Postal Code: | 37404 |
Phone Number: | 4236970014 |
Fax Number: | 4236486280 |
NPI Enumeration Date: | 10/02/2008 |
NPI Last Update Date: | 11/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | TRN11589 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |