Amanda Michelle Whitacre, PMHNP-BC Valid NPI
Individual provider · Psychiatric/Mental Health Nurse Practitioner · Hattiesburg, MS
- NPI
- 1215309133
- Type
- Individual (Type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner (Nurse Practitioner)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363LP0808X
- License number
- 905840 (MS)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2015-10-30
- Last updated
- 2023-07-20
Practice location
34 Millbranch Rd
Hattiesburg, MS 39402-1686
(601) 909-9394