Provider Demographics
NPI:1841600699
Name:WHITMORE, JOSIE CHRISTINE (FNP)
Entity type:Individual
Prefix:
First Name:JOSIE
Middle Name:CHRISTINE
Last Name:WHITMORE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:JOSIE
Other - Middle Name:CHRISTINE
Other - Last Name:LATTIMORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4600 MONTGOMERY RD STE 400
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45212-2600
Mailing Address - Country:US
Mailing Address - Phone:833-510-4357
Mailing Address - Fax:
Practice Address - Street 1:2452 FAIRLAWN CT
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106-3884
Practice Address - Country:US
Practice Address - Phone:336-281-5873
Practice Address - Fax:336-281-5873
Is Sole Proprietor?:No
Enumeration Date:2014-05-02
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5006872363L00000X, 363LF0000X
NC252889363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCNP3825Medicaid
NC1841600699Medicaid
NCNCI536C904Medicare PIN
NCNCI536EMedicare PIN
NCNCI536CMedicare PIN
NCNCI536DMedicare PIN
NCNCI536BMedicare PIN
NCNCI536FMedicare PIN