JAKE WHITESIDE
Student in an Organized Health Care Education/Training Program
Active
Individual
NPI: 1790480200
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes | 01096565A (IN) |
Frequently Asked Questions
NPI 1790480200 is the National Provider Identifier for JAKE WHITESIDE, a Student in an Organized Health Care Education/Training Program provider located in Dayton, OH. This NPI was enumerated on April 3, 2023.
JAKE WHITESIDE practices at 30 E APPLE ST STE 6258, Dayton, OH 45409.
Quick Facts
- NPI
- 1790480200
- Type
- Individual
- Enumerated
- Apr 3, 2023
- Last Updated
- Feb 2, 2026
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