Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN DALE WHITAKER, PA
Active Sole ProprietorJORDAN DALE WHITAKER, PA is a Physician Assistant healthcare provider located in MOUNT VERNON, Kentucky. NPI 1659922250 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MOUNT VERNON, KY
Registration Details
- NPI Number
- 1659922250
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 25, 2019 (6.7008145199253 yrs)
- Last Updated
- Sep 25, 2019
- License
-
TC870 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1770 LAKE CUMBERLAND RDMOUNT VERNON, KY, 404568431Browse KY providers · Browse ZIP 40456
- Phone
- 6062567488
- Fax
- 6062568036
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in MOUNT VERNON, KY
| Name | Credential | NPI |
|---|---|---|
| ANGELA L. PARSONS-WOODS | PA | 1205988235 |
| BRITTANY PERKINS-SAYLOR | PA-C | 1023388972 |
| DEANA P. HALE | P.A. | 1285080366 |
| EMILY KAY SAYLOR | — | 1982393468 |
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.