Most Relevant Information
Provider Data
| NPI Number: | 1003546995 |
| Provider Name: | JESSICA WHALEN |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | P017661 |
Most Important Dates
| Enumeration Date: | 06/14/2022 |
| Last Updated: | 06/14/2022 |
Provider Practice Location
5401 SIX FORKS RD STE 200
RALEIGH
NC
276094462
Practice Location Phone/Fax
| Phone: | 9198864052 |
| Fax: |
Provider Mailing Location
5401 SIX FORKS RD STE 200
RALEIGH
NC
276094462
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |