Provider Demographics
NPI:1942437595
Name:NESBIT, WHITNEY HERRON (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:WHITNEY
Middle Name:HERRON
Last Name:NESBIT
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1635 BOLING ST
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39213-4418
Mailing Address - Country:US
Mailing Address - Phone:601-366-0123
Mailing Address - Fax:601-366-0649
Practice Address - Street 1:1635 BOLING ST
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39213-4418
Practice Address - Country:US
Practice Address - Phone:601-366-0123
Practice Address - Fax:601-366-0649
Is Sole Proprietor?:No
Enumeration Date:2009-06-22
Last Update Date:2009-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1544225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics