Provider Demographics
NPI:1457962805
Name:SCALLAN, WHITNEY JOANNE (APRN-C, FNP)
Entity Type:Individual
Prefix:MRS
First Name:WHITNEY
Middle Name:JOANNE
Last Name:SCALLAN
Suffix:
Gender:F
Credentials:APRN-C, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 TEAL LOOP
Mailing Address - Street 2:
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71291-9107
Mailing Address - Country:US
Mailing Address - Phone:318-331-5038
Mailing Address - Fax:
Practice Address - Street 1:403 TEAL LOOP
Practice Address - Street 2:
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71291-9107
Practice Address - Country:US
Practice Address - Phone:318-331-5038
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-10
Last Update Date:2020-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA214264363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily