Individual
CAROLYN VICTORIA WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
255 E WATT ST, ALCOA, TN 37701-2236
(865) 273-1616
(865) 273-1645
Mailing address
6350 W ANDREW JOHNSON HWY, DEPARTMENT 100, TALBOTT, TN 37877-8605
(800) 355-3565
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
163W00000X
Registered Nurse
RN171356
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN22413
TN
Other
Enumeration date
03/26/2007
Last updated
09/29/2020
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