Doctor Name: | MISS GAIL MCWHIRTER |
NPI Number: | 1063763340 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PMHNP |
License Number: | 2218052 |
Business Practice Address: | 463142 State Road 200 Yulee, FL - 320975554 |
Business Phone Number: | 9042258280 |
Business Fax Number: | 9042258283 |
Mailing Address: | 463142 State Road 200, YULEE |
State: | FL |
Postal Code: | 32097 |
Phone Number: | 9042258280 |
Fax Number: | 9042258283 |
NPI Enumeration Date: | 09/26/2012 |
NPI Last Update Date: | 09/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 2218052 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |