Provider Demographics
NPI:1912468521
Name:SIRMANS, WHITNEY DENANN (FNP)
Entity Type:Individual
Prefix:MRS
First Name:WHITNEY
Middle Name:DENANN
Last Name:SIRMANS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1226 S HIGHWAY 129
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:GA
Mailing Address - Zip Code:31649-1628
Mailing Address - Country:US
Mailing Address - Phone:229-300-2258
Mailing Address - Fax:
Practice Address - Street 1:85 N MAIN ST
Practice Address - Street 2:
Practice Address - City:BAXLEY
Practice Address - State:GA
Practice Address - Zip Code:31513-0567
Practice Address - Country:US
Practice Address - Phone:912-705-9110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-27
Last Update Date:2019-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN219626363LF0000X
FLAPRN11001573363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily