Individual
MRS. WHITNEY ELIZABETH MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP - C
Contact information
Practice address
750 OAK ST, KENOVA, WV 25530-1517
(304) 453-6136
Mailing address
750 OAK ST, KENOVA, WV 25530-1517
(304) 544-0360
(304) 453-1756
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN71214-NP-C
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0275379
—
OH
05
—
1619470382
—
WV
05
—
7100529190
—
KY
Enumeration date
03/08/2018
Last updated
04/14/2023
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