Provider Demographics
NPI:1568132298
Name:WILKINS, WHITNEY (FNP-C)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:
Last Name:WILKINS
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 1:885 LIBERTY RD STE 300
Mailing Address - Street 2:
Mailing Address - City:FLOWOOD
Mailing Address - State:MS
Mailing Address - Zip Code:39232-9006
Mailing Address - Country:US
Mailing Address - Phone:601-213-0069
Mailing Address - Fax:
Practice Address - Street 1:885 LIBERTY RD STE 300
Practice Address - Street 2:
Practice Address - City:FLOWOOD
Practice Address - State:MS
Practice Address - Zip Code:39232-9006
Practice Address - Country:US
Practice Address - Phone:601-213-0069
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-14
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS904240363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily