Healthcare Provider Details

I. General information

NPI: 1023456183
Provider Name (Legal Business Name): SHEILA LYNNE WHITENER DNP CNM FNP-BC NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2013
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

63 PLOTT ST STE A
BLAIRSVILLE GA
30512-3666
US

IV. Provider business mailing address

63 PLOTT ST STE A
BLAIRSVILLE GA
30512-3666
US

V. Phone/Fax

Practice location:
  • Phone: 706-745-2968
  • Fax: 706-970-4201
Mailing address:
  • Phone: 706-745-2968
  • Fax: 706-970-4201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberRN094116
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN094116
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: