Individual
MS. LISA ANN WHITFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
800 RAVENHILL DR, ATCHISON, KS 66002-9204
(913) 367-2131
Mailing address
8651 NE 97TH ST, KANSAS CITY, MO 64157-7617
(816) 935-6301
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
2013028161
MO
363LF0000X
Family Nurse Practitioner
2019040553
MO
363LF0000X
Family Nurse Practitioner
Primary
53-79055
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016289130
PTAN
KS
05
—
10030256200
—
NE
05
—
30004686240001
—
KS
Enumeration date
08/18/2019
Last updated
03/19/2026
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