MEDICARE: COURTNEY WILDER-WHITING FNP-C, PMHNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	APRN11024193	FL
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	PMH01260116	OH
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	PMH01260116	FL
4	363L00000X	Nurse Practitioner	APRN.CNP.18936	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346600558
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COURTNEY WILDER-WHITING FNP-C, PMHNP-C

Provider Business Mailing Address
First Line	:	3121 W BROAD ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43204-1306
Country	:	US
Telephone Number	:	614-869-2002
Fax Number	:

Provider Business Practice Location Address
First Line	:	3121 W BROAD ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43204-1306
Country	:	US
Telephone Number	:	614-869-2002
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/01/2016
Last Update Date	:	02/05/2026

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Directions to “ COURTNEY WILDER-WHITING FNP-C, PMHNP-C” Practice Location

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