Individual provider · Type 1 NPI

Trekena Shalese Whipple

Student in an Organized Health Care Education/Training Program · Jacksonville, FL

NPI number 1124661764 Active

Practice location

4249 Rogers Ave
Jacksonville, FL 32208-1721

Call (904) 624-9902 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1124661764

Trekena Shalese Whipple's National Provider Identifier is 1124661764, issued on Oct 28, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jacksonville, FL. The record was last updated on Oct 28, 2019.