Provider Demographics
NPI:1184161937
Name:WHITAKER, CHERNISE CAMBERIAN (CHERNISE RAPLEY)
Entity type:Individual
Prefix:
First Name:CHERNISE
Middle Name:CAMBERIAN
Last Name:WHITAKER
Suffix:
Gender:F
Credentials:CHERNISE RAPLEY
Other - Prefix:MRS
Other - First Name:CHERNISE
Other - Middle Name:CAMBERIAN
Other - Last Name:RAPLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNA
Mailing Address - Street 1:2561 29ST ENSLEY
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35208
Mailing Address - Country:US
Mailing Address - Phone:205-253-7935
Mailing Address - Fax:
Practice Address - Street 1:2561 29ST ENSLEY
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35208
Practice Address - Country:US
Practice Address - Phone:205-253-7935
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse