person
Lisa D Whitnum, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Glen Allen, Virginia
NPI 1104591098

Lisa D Whitnum is a Psychiatric/Mental Health Nurse Practitioner based in Glen Allen, VA and is specialized in Psychiatric/Mental Health. Lisa D Whitnum practices in Glen Allen, VA and has the professional credentials of PMHNP-BC. The NPI Number for Lisa D Whitnum is 1104591098 and holds a License No. 0001191786 (Virginia).

The current practice location address for Lisa D Whitnum is 10900 Nuckols Rd Ste 100, Glen Allen, VA and can be reached out via phone at 804-207-6737. You can also correspond with Lisa D Whitnum through the mailing address at 10900 NUCKOLS RD STE 100, GLEN ALLEN, VA - 23060-9277 (mailing address contact number: 804-207-6737).

Location: 10900 Nuckols Rd Ste 100, Glen Allen, VA, 23060-9277
person
Provider Profile Details
NPI Number
1104591098
Provider Name
Lisa D Whitnum
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
10900 Nuckols Rd Ste 100, Glen Allen, VA, 23060-9277
Phone Number
804-207-6737
Fax Number
Provider Enumeration Date
08/12/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30016690600003 05 VA
institution
Provider Business Practice Location Address Details
Address
10900 Nuckols Rd Ste 100
City
State
Zip
23060-9277
Phone Number
804-207-6737
Fax Number
person
Provider Business Mailing Address Details
Address
10900 Nuckols Rd Ste 100
City
State
Zip
23060-9277
Phone Number
804-207-6737
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
0024182387 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
0001191786 (Virginia)
Definition
Definition to come...
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