Individual
WHITNEY FALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
13000 EQUITY PL STE 105, LOUISVILLE, KY 40223-3976
(502) 882-0176
(502) 234-9225
Mailing address
19416 LAKESIDE DR, CHARLESTOWN, IN 47111-9807
(502) 882-0176
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3010737
KY
363LF0000X
Family Nurse Practitioner
3010737
KY
Other
Enumeration date
12/14/2016
Last updated
12/31/2024
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