Healthcare Provider Details

I. General information

NPI: 1669824736
Provider Name (Legal Business Name): LENA LEE WHISENHUNT MSN, RN FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2016
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9434 COEBURN MOUNTAIN RD
WISE VA
24293-5944
US

IV. Provider business mailing address

4294 CARTER STANLEY HWY
MC CLURE VA
24269-7007
US

V. Phone/Fax

Practice location:
  • Phone: 276-328-2721
  • Fax:
Mailing address:
  • Phone: 276-275-4630
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024174018
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: