Provider Demographics
NPI:1326225269
Name:WHERRY, JAIME KRISTEN (L AC)
Entity Type:Individual
Prefix:MS
First Name:JAIME
Middle Name:KRISTEN
Last Name:WHERRY
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5 STATE RT 94
Mailing Address - Street 2:SUITE D
Mailing Address - City:VERNON
Mailing Address - State:NJ
Mailing Address - Zip Code:07462-3553
Mailing Address - Country:US
Mailing Address - Phone:973-534-1837
Mailing Address - Fax:973-827-0132
Practice Address - Street 1:5 STATE RT 94
Practice Address - Street 2:SUITE D
Practice Address - City:VERNON
Practice Address - State:NJ
Practice Address - Zip Code:07462-3553
Practice Address - Country:US
Practice Address - Phone:973-534-1837
Practice Address - Fax:973-827-0132
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-23
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MX00051500171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist