Provider Demographics
NPI:1477165363
Name:WHISLER, KACEY
Entity type:Individual
Prefix:
First Name:KACEY
Middle Name:
Last Name:WHISLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1134 FOREST HILL DR
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-2818
Mailing Address - Country:US
Mailing Address - Phone:210-445-4341
Mailing Address - Fax:
Practice Address - Street 1:1134 FOREST HILL DR
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-2818
Practice Address - Country:US
Practice Address - Phone:210-445-4341
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-20
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC177586163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency