Provider Demographics
NPI:1992334171
Name:WHIPP, JENNIFER MICHELLE (DO)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:MICHELLE
Last Name:WHIPP
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:MICHELLE
Other - Last Name:NEUMEYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:6503 E BROAD ST STE 100
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-1693
Mailing Address - Country:US
Mailing Address - Phone:614-434-5437
Mailing Address - Fax:614-434-5438
Practice Address - Street 1:6503 E BROAD ST STE 100
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-1693
Practice Address - Country:US
Practice Address - Phone:614-434-5437
Practice Address - Fax:614-434-5438
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-08
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.016358208000000X
OH58.031697208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics