Provider Demographics
NPI:1669824736
Name:WHISENHUNT, LENA LEE (MSN, RN FNP-BC)
Entity Type:Individual
Prefix:
First Name:LENA
Middle Name:LEE
Last Name:WHISENHUNT
Suffix:
Gender:F
Credentials:MSN, RN FNP-BC
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Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4294 CARTER STANLEY HWY
Mailing Address - Street 2:
Mailing Address - City:MC CLURE
Mailing Address - State:VA
Mailing Address - Zip Code:24269-7007
Mailing Address - Country:US
Mailing Address - Phone:276-275-4630
Mailing Address - Fax:
Practice Address - Street 1:9434 COEBURN MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:WISE
Practice Address - State:VA
Practice Address - Zip Code:24293-5944
Practice Address - Country:US
Practice Address - Phone:276-328-2721
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0024174018363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1669824736Medicaid