Provider Demographics
NPI:1275060113
Name:WHITNEY, APRIL LYNN (HIS)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:LYNN
Last Name:WHITNEY
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:MRS
Other - First Name:APRIL
Other - Middle Name:LYNN
Other - Last Name:FLEMING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17814 SW 95TH AVE
Mailing Address - Street 2:
Mailing Address - City:ARCHER
Mailing Address - State:FL
Mailing Address - Zip Code:32618-3404
Mailing Address - Country:US
Mailing Address - Phone:352-214-6525
Mailing Address - Fax:
Practice Address - Street 1:1107 S WALNUT ST
Practice Address - Street 2:
Practice Address - City:STARKE
Practice Address - State:FL
Practice Address - Zip Code:32091-4413
Practice Address - Country:US
Practice Address - Phone:904-964-4327
Practice Address - Fax:904-368-0574
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS5287237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist