| Doctor Name: | MR. DAVID MELVIN WHITTAKER |
| NPI Number: | 1023038403 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | APRN |
| License Number: | 3002555 |
| Business Practice Address: | 1919 State St Ste 364 New Albany, IN - 471506801 |
| Business Phone Number: | 8129494767 |
| Business Fax Number: | 8129484338 |
| Mailing Address: | 1919 State St Ste 364, NEW ALBANY |
| State: | IN |
| Postal Code: | 471506801 |
| Phone Number: | 8129494767 |
| Fax Number: | 8129484338 |
| NPI Enumeration Date: | 07/20/2006 |
| NPI Last Update Date: | 05/02/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | 3002555 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |