Individual
CRYSTAL WHITEHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-NP
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
3010792
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100425010
—
KY
Enumeration date
10/10/2016
Last updated
11/07/2024
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