Individual provider · Type 1 NPI

Alyssa Marie Whitaker

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

NPI number 1124922679 Active

Practice location

1 Shircliff Way
Jacksonville, FL 32204-4748

Call (904) 308-7300 Map

Mailing address

683 Hawks Trace Dr
Jacksonville, FL 32225-5401

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 1124922679

Alyssa Marie Whitaker's National Provider Identifier is 1124922679, issued on Oct 7, 2026. 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 7, 2026.