Healthcare Provider Details

I. General information

NPI: 1447162714
Provider Name (Legal Business Name): WHITNEY RIGDON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20233 STATE HIGHWAY H
QUEEN CITY MO
63561-2206
US

IV. Provider business mailing address

20233 STATE HIGHWAY H
QUEEN CITY MO
63561-2206
US

V. Phone/Fax

Practice location:
  • Phone: 660-988-6214
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number2025100465
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2025100465
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: