Healthcare Provider Details

I. General information

NPI: 1114264942
Provider Name (Legal Business Name): WHITNEY SMITH GATLIN CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/14/2013
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

952 ROSE DR # A
NORTHPORT AL
35476-3363
US

IV. Provider business mailing address

952 ROSE DR # A
NORTHPORT AL
35476-3363
US

V. Phone/Fax

Practice location:
  • Phone: 205-339-8282
  • Fax: 205-339-0936
Mailing address:
  • Phone: 205-556-5541
  • Fax: 205-554-7937

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number1-117845
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: