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General NPI Number Information
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NPI Number | 1780966127
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Entity Type | Individual
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Provider Name | WHITNEY JOHNSON PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/12/2011
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Last Update Date | 03/22/2024
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Provider Practice Location Address
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Address Line | 597 N STATE HIGHWAY 181
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City | GOSNELL
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State | AR
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Zip | 72315-5905
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Country | US
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Telephone | 501-642-0300
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Fax |
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Provider Business Mailing Address
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Address Line | 597 N STATE HIGHWAY 181
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City | GOSNELL
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State | AR
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Zip | 72315-5905
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Country | US
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Telephone | 870-532-7879
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2019039813
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | R085765
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 216739
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License Number State | AR
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