Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JACKIE GLEN WHITTEN JR., IDMT-PARAMEDIC

Active

MR. JACKIE GLEN WHITTEN JR., IDMT-PARAMEDIC is a Independent Duty Medical Technician healthcare provider located in TINKER AFB, Oklahoma. NPI 1811131980 is currently active in the NPPES registry. Verify at CMS.

Independent Duty Medical Technician · TINKER AFB, OK

Registration Details

NPI Number: 1811131980
Provider Type: Individual
Gender: Male
NPI Issued: Apr 21, 2009 (17.281331690393 yrs)
Last Updated: Apr 21, 2009

Practice Information

Address: 5700 ARNOLD ST

BLDG 5801

TINKER AFB, OK, 731458105
Browse OK providers · Browse ZIP 73145
Phone: 4057362820
Fax: 4057362677
Primary Specialty: Independent Duty Medical Technician
1710I1003X

Other Independent Duty Medical Technician Providers in TINKER AFB, OK

Name	Credential	NPI
MRS. JEANNE ANN LEWIS	IDMT	1083857189
YAMILY CRUZ SOTO	IDMT	1417190513
BRANDI NICOLE KELLEY	IDMT	1578706602
AXELANDRA TAMAR SANG	—	1508000282
MR. STUART SCOTT SMITH	IDMT	1255575577
MRS. NANCY M. CHAVEZ-MOZINGO	IDMT	1497084180

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.