Provider Demographics
NPI:1376937490
Name:KERSEY, WHITNEY NICOLE (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:WHITNEY
Middle Name:NICOLE
Last Name:KERSEY
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:WHITNEY
Other - Middle Name:NICOLE
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:1808 2ND BAXTER CROSSING
Mailing Address - Street 2:
Mailing Address - City:FORT MILL
Mailing Address - State:SC
Mailing Address - Zip Code:29708
Mailing Address - Country:US
Mailing Address - Phone:803-802-2225
Mailing Address - Fax:803-408-3299
Practice Address - Street 1:1808 2ND BAXTER CROSSING
Practice Address - Street 2:
Practice Address - City:FORT MILL
Practice Address - State:SC
Practice Address - Zip Code:29708
Practice Address - Country:US
Practice Address - Phone:803-802-2225
Practice Address - Fax:803-408-3299
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-26
Last Update Date:2018-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC19372363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily