Provider Demographics
NPI:1215604178
Name:WHORLEY, CHARITY HAROLD (FNP)
Entity Type:Individual
Prefix:
First Name:CHARITY
Middle Name:HAROLD
Last Name:WHORLEY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1808 HERITAGE CIR
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502-2516
Mailing Address - Country:US
Mailing Address - Phone:434-382-7025
Mailing Address - Fax:
Practice Address - Street 1:5615 SEMINOLE AVE
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502-2201
Practice Address - Country:US
Practice Address - Phone:434-239-2657
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-26
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024182508363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily