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JESSY EUGENE WARREN WHITTALL
NPI 1194377903
Military Health Care Provider - Independent Duty Corpsman in Havelock, NC

Active since July 11, 2019
4389 BEAFORT RD, HAVELOCK, NC 28532(252) 466-0921 Get Directions Write a Review

NPPES record last updated: July 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessy Eugene Warren Whittall NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSY EUGENE WARREN WHITTALL (NPI 1194377903) is an individual independent duty corpsman provider in Havelock, North Carolina and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1194377903
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameJESSY EUGENE WARREN WHITTALL
Location Address4389 BEAFORT RDHavelock, NC 28532
Mailing Address4389 Beaufort RdHavelock, NC 28532 · (252) 466-0921
Phone(252) 466-0921
Sole ProprietorNo
Enumeration DateJuly 11, 2019
✔ NPI 1194377903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
4389 BEAFORT RD, Havelock, NC 28532
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessy Whittall's NPI number?

The NPI number for Jessy Whittall is 1194377903. It was assigned to this individual provider in the NPPES registry on July 11, 2019.

Where is Jessy Whittall located?

Jessy Whittall practices at 4389 Beafort Rd, Havelock, NC 28532. The listed phone number is (252) 466-0921.

What is Jessy Whittall's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Jessy Whittall was last updated on July 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.