Provider Demographics
NPI:1154218501
Name:WHITBY, HEATHER PATRICIA (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:PATRICIA
Last Name:WHITBY
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:PATRICIA
Other - Last Name:DONNALLY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2418 RIDGEMOOR DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-7512
Mailing Address - Country:US
Mailing Address - Phone:407-257-9594
Mailing Address - Fax:407-257-9594
Practice Address - Street 1:1665 E ANDREW JOHNSON HWY STE 2
Practice Address - Street 2:
Practice Address - City:GREENEVILLE
Practice Address - State:TN
Practice Address - Zip Code:37745-5826
Practice Address - Country:US
Practice Address - Phone:423-639-0243
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-19
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN39013363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily