Individual
ASHLEY NICHOLE WHITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3600 S NATIONAL AVE, SPRINGFIELD, MO 65807-7311
(417) 322-6622
(417) 350-1935
Mailing address
3600 S NATIONAL AVE, SPRINGFIELD, MO 65807-7311
(417) 322-6622
(417) 350-1935
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2014006854
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2023043289
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
226636
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
312675758
—
AR
05
—
420133134
—
MO
Enumeration date
10/30/2023
Last updated
09/17/2024
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