Provider Demographics
NPI:1740820844
Name:EUBANK, WHITNEY W (BSN, MSN)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:W
Last Name:EUBANK
Suffix:
Gender:F
Credentials:BSN, MSN
Other - Prefix:
Other - First Name:WHITNEY
Other - Middle Name:D
Other - Last Name:WELCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2091 LANGHORNE RD
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24501-1428
Mailing Address - Country:US
Mailing Address - Phone:434-947-3954
Mailing Address - Fax:
Practice Address - Street 1:2091 LANGHORNE RD
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501-1428
Practice Address - Country:US
Practice Address - Phone:434-947-3954
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-07
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024178003363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily