Provider Demographics
NPI:1083446223
Name:WHYNTER, JODY-ANN MORRIE (RN)
Entity type:Individual
Prefix:
First Name:JODY-ANN
Middle Name:MORRIE
Last Name:WHYNTER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 ORCHARD ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10552-1611
Mailing Address - Country:US
Mailing Address - Phone:516-469-8530
Mailing Address - Fax:
Practice Address - Street 1:21 ORCHARD ST
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10552-1611
Practice Address - Country:US
Practice Address - Phone:516-469-8530
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-16
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY793312163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse