Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOLBY THOMAS WHITAKER
Active Sole ProprietorJACOLBY THOMAS WHITAKER is a Student (Health Education/Training) healthcare provider located in ALTO, Texas. NPI 1164054482 is currently active in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · ALTO, TX
Registration Details
- NPI Number
- 1164054482
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 5, 2020 (6.4911008090751 yrs)
- Last Updated
- Feb 5, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
8830 STATE HIGHWAY 21ALTO, TX, 759256018Browse TX providers · Browse ZIP 75925
- Phone
- 9039481074
- Primary Specialty
-
Student (Health Education/Training)
390200000X
- Additional Specialty
- Student (Health Education/Training)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.