JORDON EVERETT WHITLEY
NPI 1750889226
Licensed Practical Nurse in Corning, AR

Q: What is the provider's specialty?

The provider's specialty is Licensed Practical Nurse with taxonomy code 164W00000X.

Active since January 30, 2018

602 DAVID ST, CORNING, AR 72422(870) 857-3655(870) 857-3667 Get Directions Write a Review

NPPES record last updated: January 30, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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Individual
Male
Licensed Practical Nurse

About JORDON WHITLEY

This page provides the complete NPI Profile along with additional information for Jordon Whitley, a provider established in Corning, Arkansas with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1750889226 assigned on January 2018. The practitioner's primary taxonomy code is 164W00000X with license number L059563 (AR). The provider is registered as an individual and his NPI record was last updated 8 years ago.

NPI: 1750889226 Verify this NPI
Provider Name: JORDON EVERETT WHITLEY
Gender: Male
Entity Type: Individual
Location Address: 602 DAVID ST CORNING, AR 72422
Location Phone: (870) 857-3655
Location Fax: (870) 857-3667
Mailing Address: 2707 BROWNS LN JONESBORO, AR 72401
Mailing Phone: (870) 972-4961
Mailing Fax: (870) 972-4088
Is Sole Proprietor?: Yes
Enumeration Date: 01-30-2018
Last Update Date: 01-30-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Licensed Practical Nurse
Taxonomy Code: 164W00000X
Type: Nursing Service Providers
License No.: L059563
License State: AR
Taxonomy Description: A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.