Individual provider · Type 1 NPI

Jessie M. Whiteman, FNP-C

Family Nurse Practitioner · Fort Wayne, IN

NPI number 1073090130 Active

Practice location

11104 Parkview Circle Dr
Fort Wayne, IN 46845-1672

Mailing address

120 W 22nd St
Oak Brook, IL 60523-1557

Other practice locations

  • 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 · (260) 435-7493

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X71008138A (IN)

Family Nurse Practitioner: Definition to come...

30 other providers at this address

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About NPI 1073090130

Jessie M. Whiteman, FNP-C's National Provider Identifier is 1073090130, issued on Jul 22, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Wayne, IN. The record was last updated on Aug 11, 2025.