Individual
MRS. WHITNEY BARRIER BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
401 SOUTHCREST CIR STE 212, SOUTHAVEN, MS 38671-6721
(662) 245-5270
Mailing address
PO BOX 1089, HAMMOND, LA 70404-1089
(985) 892-7070
(985) 892-7017
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
157298
LA
163W00000X
Registered Nurse
886293
MS
363LF0000X
Family Nurse Practitioner
Primary
902201
MS
363LF0000X
Family Nurse Practitioner
AP09581
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002928727
—
MS
Enumeration date
08/28/2017
Last updated
11/08/2023
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