Doctor Name: | WHITNEY L. CLOWNEY |
NPI Number: | 1023004090 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | PA9102897 |
Business Practice Address: | 601 7th St S St Petersburg, FL - 337014704 |
Business Phone Number: | 7278247132 |
Business Fax Number: | 7278247133 |
Mailing Address: | Po Box 23600, ST PETERSBURG |
State: | FL |
Postal Code: | 337423600 |
Phone Number: | 7278248357 |
Fax Number: | 7278248239 |
NPI Enumeration Date: | 09/23/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA9102897 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |