Healthcare Provider Details

I. General information

NPI: 1336003417
Provider Name (Legal Business Name): ADRIENNE M WHITT CNP, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ADRIENNE M BATMAN

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

527 N MERIDIAN RD
YOUNGSTOWN OH
44509-1227
US

IV. Provider business mailing address

527 N MERIDIAN RD
YOUNGSTOWN OH
44509-1227
US

V. Phone/Fax

Practice location:
  • Phone: 330-797-0070
  • Fax: 330-797-9146
Mailing address:
  • Phone: 330-797-0070
  • Fax: 330-797-9146

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0041015
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.448229
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: