| NPI | 1164126454 |
|---|---|
| Former Name | DEBRA PETTIT WHISENANT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1-070175) |
| Enumeration Date | 2023-03-29 |
| Last Update Date | 2023-03-29 |