Healthcare Provider Details

I. General information

NPI: 1326521998
Provider Name (Legal Business Name): HANNAH ACKER WHITNEY CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2018
Last Update Date: 06/27/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5901 KINGSTOWNE VILLAGE PKWY STE 300
ALEXANDRIA VA
22315-5883
US

IV. Provider business mailing address

9203 POINT REPLETE DR
FORT BELVOIR VA
22060-7449
US

V. Phone/Fax

Practice location:
  • Phone: 571-384-6304
  • Fax:
Mailing address:
  • Phone: 205-399-0476
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number1-138701
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number0024177459
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: