Healthcare Provider Details

I. General information

NPI: 1629208954
Provider Name (Legal Business Name): DEBORAH CLARE WHITEHOUSE PSYCHIATRIC ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2009
Last Update Date: 07/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

239 W MAIN ST CITY HALL GROUND FLOOR
RICHMOND KY
40475-1592
US

IV. Provider business mailing address

521 LANCASTER AVE 204 ROWLETT BUILDING
RICHMOND KY
40475-3100
US

V. Phone/Fax

Practice location:
  • Phone: 859-623-1633
  • Fax:
Mailing address:
  • Phone: 859-622-1523
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number1031777
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number379P
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: