Provider Demographics
NPI:1861818296
Name:JANKOSKA, WHITNEY L
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:L
Last Name:JANKOSKA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:WHITNEY
Other - Middle Name:L
Other - Last Name:POTTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP-C
Mailing Address - Street 1:1269 N GAVORD RD
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:MI
Mailing Address - Zip Code:48659-9703
Mailing Address - Country:US
Mailing Address - Phone:989-737-3400
Mailing Address - Fax:
Practice Address - Street 1:1269 N GAVORD RD
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:MI
Practice Address - Zip Code:48659-9703
Practice Address - Country:US
Practice Address - Phone:989-737-3400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-10
Last Update Date:2014-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704269898363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily