Individual provider · Type 1 NPI

Jeffrey Daniel Whitaker, DNP, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Portland, OR

NPI number 1578285219 Active

Practice location

1201 SW 12th Ave
Portland, OR 97205-2046

Mailing address

1446A 5th Ave
Fort Knox, KY 40121-2223

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X202213055NP-PP (OR)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1578285219

Jeffrey Daniel Whitaker, DNP, PMHNP-BC's National Provider Identifier is 1578285219, issued on Sep 19, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Portland, OR. The record was last updated on Sep 19, 2022.