Healthcare Provider Details

I. General information

NPI: 1033055116
Provider Name (Legal Business Name): SANCTUM PSYCHIATRY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

266 OAK AVE STE 312
SPRUCE PINE NC
28777-2722
US

IV. Provider business mailing address

266 OAK AVE STE 312
SPRUCE PINE NC
28777-2722
US

V. Phone/Fax

Practice location:
  • Phone: 828-721-5526
  • Fax:
Mailing address:
  • Phone: 828-721-5526
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. JESSICA COSTNER WHITLOW
Title or Position: OWNER
Credential: PMHNP-BC
Phone: 828-721-5526