Provider Demographics
NPI:1891008181
Name:O'CONNOR, WHITNEY RENEE (NP-C)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:RENEE
Last Name:O'CONNOR
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4012 UNION WALK CIR SE
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30082-3657
Mailing Address - Country:US
Mailing Address - Phone:404-547-9970
Mailing Address - Fax:
Practice Address - Street 1:4012 UNION WALK CIR SE
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30082-3657
Practice Address - Country:US
Practice Address - Phone:404-547-9970
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-15
Last Update Date:2010-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN182395 NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily