Healthcare Provider Details

I. General information

NPI: 1417269275
Provider Name (Legal Business Name): WHITNEY HERRING M.D., M.P.H.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2010
Last Update Date: 01/06/2025
Certification Date: 01/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

803 LIBERTY RD
FLOWOOD MS
39232-9000
US

IV. Provider business mailing address

803 LIBERTY RD
FLOWOOD MS
39232-9000
US

V. Phone/Fax

Practice location:
  • Phone: 601-714-1967
  • Fax: 601-714-1966
Mailing address:
  • Phone: 601-714-1967
  • Fax: 601-714-1966

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberT-2321
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: