Provider Demographics
NPI:1326521998
Name:WHITNEY, HANNAH ACKER (CRNP)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:ACKER
Last Name:WHITNEY
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 1:9203 POINT REPLETE DR
Mailing Address - Street 2:
Mailing Address - City:FORT BELVOIR
Mailing Address - State:VA
Mailing Address - Zip Code:22060-7449
Mailing Address - Country:US
Mailing Address - Phone:205-399-0476
Mailing Address - Fax:
Practice Address - Street 1:5901 KINGSTOWNE VILLAGE PKWY STE 300
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22315-5883
Practice Address - Country:US
Practice Address - Phone:571-384-6304
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-10
Last Update Date:2019-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-138701363L00000X
VA0024177459363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner