Individual
MR. JAMES MICHAEL WHITTINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
530 W PINE ST, SUITE 1, PONCHATOULA, LA 70454-3780
(985) 507-4655
Mailing address
PO BOX 2274, HAMMOND, LA 70404-2274
(985) 507-4655
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08195
LA
Other
Enumeration date
04/10/2015
Last updated
01/13/2016
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