Provider Demographics
NPI:1124988811
Name:WHITING, KHRYSS (CNA)
Entity type:Individual
Prefix:
First Name:KHRYSS
Middle Name:
Last Name:WHITING
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1411 BAHIA DR
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32305-7388
Mailing Address - Country:US
Mailing Address - Phone:850-320-1529
Mailing Address - Fax:
Practice Address - Street 1:1411 BAHIA DR
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32305-7388
Practice Address - Country:US
Practice Address - Phone:850-320-1529
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-14
Last Update Date:2025-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCNA286019376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide