Individual
WHITNEY BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
105 PAVILION WAY, SOUTHERN PINES, NC 28387-4556
(910) 692-2444
Mailing address
105 PAVILION WAY, SOUTHERN PINES, NC 28387-4556
(910) 692-2444
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
314340
NC
363LP0200X
Pediatric Nurse Practitioner
Primary
5024090
NC
Other
Enumeration date
03/10/2025
Last updated
08/11/2026
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