Stephanie Lynn Whitmire, AGPCNP-BC
Nurse Practitioner in Columbus, MS. Individual provider (NPI-1).
NPI number1669933669
StatusActive
Last updated in NPPESMar 13, 2025
Details
- NPI
- 1669933669
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Stephanie Lynn Whitmire
- Credential
- AGPCNP-BC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 31, 2019
- Certification date
- Mar 13, 2025
- Last updated
- Mar 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 906649 | MS | Yes |
| 163W00000X | Registered Nurse | R872661 | MS |
Practice location
670 Leigh DrColumbus, MS 39705-3014
Phone 662-328-1012 · Fax 662-328-1507
Mailing address
2007 Highway 82Ethelsville, AL 35461-3097
Phone 662-386-0501
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