IndividualActive
Jackie Whitten, IDMT-PARAMEDIC
NPI 1811131980 · Independent Duty Medical Technicians · Tinker Afb, OK
Provider details
- NPI number
- 1811131980
- Entity type
- Individual
- Primary specialty
- Independent Duty Medical TechniciansOther Service Providers
- Credential
- IDMT-PARAMEDIC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
5700 Arnold St
Bldg 5801
Tinker Afb, OK 73145-8105
Phone: (405) 736-2820
Fax: (405) 736-2677
Approximate (ZIP-level) locationGet directions
Mailing address
5700 Arnold St
Tinker Afb, OK 73145-8105
Registry dates
- Enumerated
- 2009-04-21
- Last updated
- 2009-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.