Provider Demographics
NPI:1639652365
Name:HOWELL, WHITNEY RAE (DNP, FNP-BC)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:RAE
Last Name:HOWELL
Suffix:
Gender:F
Credentials:DNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:570 MCWHORTER DR
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30606-4330
Mailing Address - Country:US
Mailing Address - Phone:229-881-9901
Mailing Address - Fax:
Practice Address - Street 1:345 N HARRIS ST
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30601-2411
Practice Address - Country:US
Practice Address - Phone:706-389-6870
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-10
Last Update Date:2018-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN233617163W00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse