Healthcare Provider Details

I. General information

NPI: 1447559471
Provider Name (Legal Business Name): WHITNEY P WHITE WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2011
Last Update Date: 03/25/2025
Certification Date: 03/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2315 W JACKSON ST
PENSACOLA FL
32505-7552
US

IV. Provider business mailing address

2315 W JACKSON ST
PENSACOLA FL
32505-7552
US

V. Phone/Fax

Practice location:
  • Phone: 850-435-4352
  • Fax: 850-497-6195
Mailing address:
  • Phone: 850-435-4352
  • Fax: 850-497-6195

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberARNP9227026
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: