Individual
MR. SAMUEL C WHITAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, FNP-C
Contact information
Practice address
25 FOREST GROVE LN, HAUGHTON, LA 71037-9237
(318) 434-1287
Mailing address
25 FOREST GROVE LN, HAUGHTON, LA 71037-9237
(318) 434-1287
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN159169
LA
Other
Enumeration date
06/10/2026
Last updated
06/10/2026
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