PATRICIA JACKSON WHALEN NPI 1376058404

NPI Information

  • NPI: 1376058404
  • Provider Name: PATRICIA JACKSON WHALEN
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 708 OSBORNE ST STE 104
    SAINT MARYS, GA
    ZIP 31558
  • Phone: (470) 270-9268

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NPI Details

Patricia Jackson Whalen is a professional counselor in Saint Marys, GA. Patricia Jackson Whalen NPI is 1376058404. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

708 OSBORNE ST STE 104
SAINT MARYS, GA
ZIP 31558-497
Phone: (470) 270-9268
Fax: (912) 576-5315

The NPI 1376058404 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 12/12/2017 and was last updated on 10/20/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalLPC011902GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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