Individual
ALYSA MERTRIECE WHITNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
213 MIMS RD, SYLVANIA, GA 30467-1994
(912) 303-7729
Mailing address
213 MIMS RD, SYLVANIA, GA 30467-1994
(912) 303-7729
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN283019
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/26/2022
Last updated
01/10/2025
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