Provider Demographics
NPI:1659016525
Name:WHITE, WHITNEY ELAYNE (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:WHITNEY
Middle Name:ELAYNE
Last Name:WHITE
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 1:203 MANCOS DR
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78626-7086
Mailing Address - Country:US
Mailing Address - Phone:512-656-4146
Mailing Address - Fax:
Practice Address - Street 1:200 SYDNEY
Practice Address - Street 2:
Practice Address - City:THORNDALE
Practice Address - State:TX
Practice Address - Zip Code:76577-5432
Practice Address - Country:US
Practice Address - Phone:512-898-4001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-04
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1076387363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily