Individual
WHITNEY TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, PMHNP-BC
Contact information
Practice address
105 W HAMILTON ST, HOUSTON, MS 38851-2209
(166) 228-5789
Mailing address
105 W HAMILTON ST, HOUSTON, MS 38851-2209
(662) 305-5998
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
902908
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
902908
MS
Other
Enumeration date
09/11/2018
Last updated
12/08/2023
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