Jennifer Shane Whitaker
Doula in Burke, VA. Individual provider (NPI-1).
NPI number1801167366
StatusActive
Last updated in NPPESJan 15, 2012
Details
- NPI
- 1801167366
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Shane Whitaker
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 15, 2012
- Last updated
- Jan 15, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374J00000X | Doula | – | – | Yes |
Practice location
9515 Southern Cross LnBurke, VA 22015-4520
Phone 571-278-8467
Mailing address
9515 Southern Cross LnBurke, VA 22015-4520
Phone 571-278-8467
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