Jessica Lea Whitlock, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

239648 Issued in GA

Practice address

5600 Brainerd Rd Ste A4
Chattanooga, TN 37411-5336

Phone

(423) 266-4588

Fax

(865) 342-0103

NPI assigned

Aug 27, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jessica Kalbach Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1942034558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 SULPHUR SPRINGS RD",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378135654",
            "telephone_number": "423-317-9344",
            "fax_number": "423-714-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 BRAINERD RD STE A4",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374115336",
            "telephone_number": "423-266-4588",
            "fax_number": "865-342-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLOCK",
        "first_name": "JESSICA",
        "middle_name": "LEA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "239648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "KALBACH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Catharine Chartier Whiting Taliaferro
• Lauren M Whiting, FNP-C
• Meghan D Whitley, OTR/L
• Andrew Luke Whitlock, PHARM. D.
• Jennifer Rebecca Whitlock, FNP
• Fred Chatles Whitmire Jr., D.M.D.
• Varsha Vera Whitmore, FNP-C
• Whitney Toothman LPC/MHSP
• Jeremy Kyle Whittaker
• Rylee Elizabeth Whittaker

• Registered Nurse in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Registered Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.