Davis, Whitney Diane
Davis, Whitney Diane is an sole proprietor health care provider with primary practice located at 2514 Wesley St Ste 102 , Johnson City TN 37601-1764. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Davis, Whitney Diane can be contacted via phone (423) 282-2700.Contact Information
Primary practice address
2514 Wesley St Ste 102
Johnson City TN 37601-1764
Phone: (423) 282-2700
Fax: (423) 282-2802
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA0000002497 | Tennessee |
Profile Details
| NPI number | 1265594618 |
|---|---|
| LBN Legal business name | Davis, Whitney Diane |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 14th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265594618 | NPPES |
| North Carolina | Other | 0010-00630 | NC PA LICENSE INACTIVE |
| North Carolina | MEDICAID | 1265594618 | NC PA LICENSE INACTIVE |
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