Provider Demographics
NPI:1568969848
Name:HARRIS, WHITNEY SIMS (APRN)
Entity Type:Individual
Prefix:MRS
First Name:WHITNEY
Middle Name:SIMS
Last Name:HARRIS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6866 REICHLIEU DR
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-4407
Mailing Address - Country:US
Mailing Address - Phone:251-487-8313
Mailing Address - Fax:
Practice Address - Street 1:6866 REICHLIEU DR
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-4407
Practice Address - Country:US
Practice Address - Phone:251-487-8313
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-12
Last Update Date:2021-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-134522363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily