Healthcare Provider Details

I. General information

NPI: 1265277628
Provider Name (Legal Business Name): EMMA WHITNEY FNP-BC, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/27/2024
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 SUMMER ST
WEYMOUTH MA
02188-1426
US

IV. Provider business mailing address

155 SUMMER ST
WEYMOUTH MA
02188-1426
US

V. Phone/Fax

Practice location:
  • Phone: 339-933-6092
  • Fax:
Mailing address:
  • Phone: 339-933-6092
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2345137
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: