Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jordan Whitaker

Individual provider Occupational Therapist · NPI 1295004174

Jordan Whitaker is an Occupational Therapist in Hattiesburg, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2011
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Practice location Address checks out

10 Medical Blvd
Hattiesburg, MS 39401-7230
Phone: (601) 543-0310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 2546 (MS)

Record details

NPI number1295004174
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 21, 2011
Last updated in NPPESDecember 21, 2011

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