Provider Demographics
NPI:1265195630
Name:WHITE, KATHERINE HUTCHINS (FNP-C)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:HUTCHINS
Last Name:WHITE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 BRESEE ST
Mailing Address - Street 2:
Mailing Address - City:DONALSONVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:39845-1134
Mailing Address - Country:US
Mailing Address - Phone:229-524-1307
Mailing Address - Fax:229-524-6268
Practice Address - Street 1:205 BRESEE ST
Practice Address - Street 2:
Practice Address - City:DONALSONVILLE
Practice Address - State:GA
Practice Address - Zip Code:39845-1134
Practice Address - Country:US
Practice Address - Phone:229-524-1307
Practice Address - Fax:229-524-6268
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-21
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN258684363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily