Organization
WHITEHOUSE BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL DAWN WHITEHOUSE APRN (APRN, OWNER)
(270) 315-7208
Entity
Organization
Contact information
Practice address
920 FREDERICA ST STE 204, OWENSBORO, KY 42301-3077
(270) 574-5600
(270) 574-5609
Mailing address
PO BOX 22618, OWENSBORO, KY 42304-2618
(270) 574-5600
(270) 574-5609
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2016019876
ANCC
KY
01
—
3010792
NURSING LICENSE
KY
Enumeration date
11/19/2019
Last updated
01/27/2021
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