Provider Demographics
NPI:1538460688
Name:WHISNANT, HEATHER MARIE (FNP-C)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:MARIE
Last Name:WHISNANT
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 1:521 SPRING FOREST RD APT A
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-7233
Mailing Address - Country:US
Mailing Address - Phone:828-443-7836
Mailing Address - Fax:
Practice Address - Street 1:1588 GEER HWY
Practice Address - Street 2:
Practice Address - City:TRAVELERS REST
Practice Address - State:SC
Practice Address - Zip Code:29690-9204
Practice Address - Country:US
Practice Address - Phone:864-836-1109
Practice Address - Fax:864-751-0479
Is Sole Proprietor?:No
Enumeration Date:2010-11-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC234690363LF0000X, 163W00000X
SC20861363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse