Whitesell, Connie S

Whitesell, Connie S is an individual health care provider with primary practice located at 320 N Oak Ave , Cookeville TN 38501-2440. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Whitesell, Connie S can be contacted via phone (931) 528-5547.

Contact Information

Primary practice address
320 N Oak Ave Cookeville TN 38501-2440
Phone: (931) 528-5547
Fax: (931) 526-2699
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APN6705 Tennessee

Profile Details

NPI number 1427042548
LBN Legal business name Whitesell, Connie S
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2005
Last updated May 27th, 2022 - about 4 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 1427042548 NPPES
Tennessee MEDICAID 3378641
Tennessee Other 500014818
Tennessee Other 4006810

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