Provider Demographics
NPI:1265010797
Name:MERRICK, WHITNEY VICTORIA (FNP-C)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:VICTORIA
Last Name:MERRICK
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1940 N SMOKERISE WAY
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29466-7608
Mailing Address - Country:US
Mailing Address - Phone:443-417-0044
Mailing Address - Fax:
Practice Address - Street 1:1940 N SMOKERISE WAY
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29466-7608
Practice Address - Country:US
Practice Address - Phone:443-417-0044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-29
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC24783363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily