Doctor Name: | DR. JENNIFER JANE WHIRLEY-DIAZ |
NPI Number: | 1861733685 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 01071198A |
Business Practice Address: | 2000 E 116th St Ste 102 Carmel, IN - 460323581 |
Business Phone Number: | 3175644464 |
Business Fax Number: | 3175644469 |
Mailing Address: | 2000 E 116th St Ste 102, CARMEL |
State: | IN |
Postal Code: | 460323581 |
Phone Number: | 3175644464 |
Fax Number: | 3175644469 |
NPI Enumeration Date: | 03/04/2013 |
NPI Last Update Date: | 03/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 01071198A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |