Healthcare Provider Details

I. General information

NPI: 1992561328
Provider Name (Legal Business Name): WHITNEY ASHLYN NORMAN PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: WHITNEY ASHLYN HAYTER PMHNP

II. Dates (important events)

Enumeration Date: 02/23/2024
Last Update Date: 08/25/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1675 E SEMINOLE ST
SPRINGFIELD MO
65804-2490
US

IV. Provider business mailing address

1675 E SEMINOLE ST
SPRINGFIELD MO
65804-2490
US

V. Phone/Fax

Practice location:
  • Phone: 417-368-5043
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number2024006748
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: