Individual
WHITNEY PUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1015 KELLEY DR STE 200, PARIS, TN 38242-5820
(731) 644-8304
Mailing address
257 BANCORP SOUTH PKWY, JACKSON, TN 38305-7582
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4640
TN
363A00000X
Physician Assistant
Primary
PA2893
KY
363AM0700X
Medical Physician Assistant
4640
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100789210
—
KY
Enumeration date
04/01/2020
Last updated
08/06/2026
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