Ms Jill Renee Whitaker, MS, RD, CD | |
411 W Tipton St, Seymour, IN 47274-2363 | |
(812) 522-2349 | |
(812) 523-0695 |
Full Name | Ms Jill Renee Whitaker |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 411 W Tipton St, Seymour, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346326915 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 37001672A (Indiana) | Primary |
Provider Name | Jackson County Schneck Memorial Hospital |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1629143037 PECOS PAC ID: 8224004585 Enrollment ID: O20041029000584 |
Mailing Address | Practice Location Address |
---|---|
Ms Jill Renee Whitaker, MS, RD, CD 411 W Tipton St, Seymour, IN 47274-2363 Ph: (812) 522-2349 | Ms Jill Renee Whitaker, MS, RD, CD 411 W Tipton St, Seymour, IN 47274-2363 Ph: (812) 522-2349 |
Mrs. Lesley Marie Kendall, M.S., R.D., C.D. Dietitian Medicare: Medicare Enrolled Practice Location: 411 W Tipton St, Seymour, IN 47274 Phone: 812-522-2349 Fax: 812-522-0524 | |
Monica Adams, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 411 W Tipton St, Seymour, IN 47274 Phone: 812-522-0718 | |
Bethany Daugherty, MS, RDN, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 411 W Tipton St, Seymour, IN 47274 Phone: 812-523-4842 |