Provider Demographics
NPI:1750169363
Name:WHITLOW, NEKIA (CRNP)
Entity type:Individual
Prefix:
First Name:NEKIA
Middle Name:
Last Name:WHITLOW
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1849 DATA DR STE 1
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35244-1202
Mailing Address - Country:US
Mailing Address - Phone:205-774-8222
Mailing Address - Fax:205-319-4899
Practice Address - Street 1:1849 DATA DR STE 1
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-1202
Practice Address - Country:US
Practice Address - Phone:205-774-8222
Practice Address - Fax:205-319-4899
Is Sole Proprietor?:No
Enumeration Date:2023-09-18
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-147650363L00000X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse