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

Mrs. Jennifer Lauren Whitmore

Individual provider Nurse Practitioner · NPI 1205405743

Mrs. Jennifer Lauren Whitmore is a Nurse Practitioner in Waterloo, New York. Licensed in New York. Registered with an NPI since 2021.

Licensed in
NY
In the registry since
2021

Practice location Address checks out

367 E Main St
Waterloo, NY 13165-1662
Phone: (315) 787-4977
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 310265 (NY)

Record details

NPI number1205405743
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 19, 2021
Last updated in NPPESJuly 8, 2021
Certification dateJuly 8, 2021

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