Whitnum, Lisa D

Whitnum, Lisa D is an sole proprietor health care provider with primary practice located at 10900 Nuckols Rd Ste 100 , Glen Allen VA 23060-9277. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Whitnum, Lisa D can be contacted via phone (804) 207-6737.

Contact Information

Primary practice address
10900 Nuckols Rd Ste 100 Glen Allen VA 23060-9277
Phone: (804) 207-6737
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 0001191786 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 0024182387 Virginia

Profile Details

NPI number 1104591098
LBN Legal business name Whitnum, Lisa D
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2021
Last updated Nov 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104591098 NPPES
Virginia MEDICAID 30016690600003

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