Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 209.017927 | IL |
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | APN27103 | TN |
NPI | 1023597945 |
---|---|
Provider Name | Katherine Elizabeth Whittington |
First Address | Olney, IL 62450-3427 |
Second Address | Alcoa, TN 37701-2236 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2018 |
Last Update Date | 29/09/2020 |