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NPI Code Detail

MEDICARE: WHITNEY PARIS FNP

MEDICARE: WHITNEY PARIS FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner31613SC

General Provider Information

NPI Number : 1043165608
Entity Type Code : Individual
Provider Name (Legal Business Name) : WHITNEY PARIS FNP
Provider Business Mailing Address
First Line : 2384 BUD GRAHAM RD
Second Line :
City : GALIVANTS FERRY
State : SC
Zip : 29544-7030
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3655 MITCHELL ST
Second Line :
City : LORIS
State : SC
Zip : 29569-2827
Country : US
Telephone Number : 843-254-8333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2026
Last Update Date : 02/28/2026

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Directions to “ WHITNEY PARIS FNP” Practice Location

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