Provider Demographics
NPI:1447559471
Name:WHITE, WHITNEY P (WHNP-BC)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:P
Last Name:WHITE
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 N PALAFOX ST
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32501-1723
Mailing Address - Country:US
Mailing Address - Phone:850-436-4630
Mailing Address - Fax:850-432-2595
Practice Address - Street 1:2200 N PALAFOX ST
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32501-1723
Practice Address - Country:US
Practice Address - Phone:850-436-4630
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-16
Last Update Date:2011-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9227026363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1447559471OtherNPI
FLARNP9227026OtherFL LICENSE NUMBER