# CAROLYN VICTORIA WHITEHEAD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1871611285
- **Gender:** F
- **Credential:** PMHNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 163W00000X | Registered Nurse | RN171356 | TN | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | APN22413 | TN | Yes |

## Other

- **Enumeration date:** 03/26/2007
- **Last updated:** 09/29/2020