Individual
DANIELLE WHITEHURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11100 HIGHWAY 64, BOLIVAR, TN 38008-1554
(731) 228-2000
(731) 202-9026
Mailing address
1919 LEVY LN, BOLIVAR, TN 38008-1562
(410) 366-0726
(731) 202-9026
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
59682
TN
Other
Enumeration date
06/12/2015
Last updated
01/15/2020
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