Individual
MISS WHITNEY FAULCONER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5582
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R2329
TX
207P00000X
Emergency Medicine Physician
T-2668
MS
Other
Enumeration date
07/01/2013
Last updated
03/16/2026
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