Abraham, Whitney Whiteside

Abraham, Whitney Whiteside is an individual health care provider with primary practice located at 670 Leigh Dr , Columbus MS 39705-3014. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Abraham, Whitney Whiteside can be contacted via phone (662) 328-1012.

Contact Information

Primary practice address
670 Leigh Dr Columbus MS 39705-3014
Fax: (662) 328-1507
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 901343 Mississippi

Profile Details

NPI number 1316319353
LBN Legal business name Abraham, Whitney Whiteside
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2015
Last updated Oct 7th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316319353 NPPES
Mississippi MEDICAID 008577555

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