Provider Demographics
NPI:1093822371
Name:WHISENANT, KAREN ANNE (CRNP)
Entity Type:Individual
Prefix:MISS
First Name:KAREN
Middle Name:ANNE
Last Name:WHISENANT
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:247 LIMESTONE DR
Mailing Address - Street 2:
Mailing Address - City:UNION GROVE
Mailing Address - State:AL
Mailing Address - Zip Code:35175-8374
Mailing Address - Country:US
Mailing Address - Phone:256-498-2575
Mailing Address - Fax:
Practice Address - Street 1:206 RESCIA AVE
Practice Address - Street 2:
Practice Address - City:RAINBOW CITY
Practice Address - State:AL
Practice Address - Zip Code:35906-5933
Practice Address - Country:US
Practice Address - Phone:256-413-7154
Practice Address - Fax:256-413-7813
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL036881363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care