Individual
KATHERINE GRACE WHATLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 449-2656
(910) 450-3345
Mailing address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
363LF0000X
Family Nurse Practitioner
Primary
5016476
NC
363LF0000X
Family Nurse Practitioner
WHAT-E4LA0
NC
363LW0102X
Women's Health Nurse Practitioner
5016476
NC
Other
Enumeration date
09/14/2020
Last updated
08/03/2022
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