Whitney Whiteside Abraham, FNP-C
Nurse Practitioner, Family in Columbus, MS. Individual provider (NPI-1).
NPI number1316319353
StatusActive
Last updated in NPPESOct 7, 2022
Details
- NPI
- 1316319353
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Whitney Whiteside Abraham
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 29, 2015
- Certification date
- Oct 7, 2022
- Last updated
- Oct 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 901343 | MS | Yes |
Practice location
670 Leigh DrColumbus, MS 39705-3014
Phone 662-328-1012 · Fax 662-328-1507
Mailing address
102 Holly Hock LnStarkville, MS 39759-2467
Phone 662-803-6232
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