Healthcare Provider Details

I. General information

NPI: 1275244618
Provider Name (Legal Business Name): CHELSEA NICOLE WHITNEY DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/07/2022
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1205 N DIXIE FWY
NEW SMYRNA BEACH FL
32168-6005
US

IV. Provider business mailing address

305 MEMORIAL MEDICAL PKWY STE 305
DAYTONA BEACH FL
32117-5169
US

V. Phone/Fax

Practice location:
  • Phone: 386-423-5259
  • Fax:
Mailing address:
  • Phone: 386-673-0201
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH14228
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: