Doctor Name: | BILLIE DARLENE WHITLEY-GATES |
NPI Number: | 1346396520 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CS |
License Number: | 053353 |
Business Practice Address: | 143 Holden Beach Rd Suite 6b Shallotte, NC - 284704522 |
Business Phone Number: | 9107547118 |
Business Fax Number: | 9102781288 |
Mailing Address: | 3018 W Pelican Dr, OAK ISLAND |
State: | NC |
Postal Code: | 284657743 |
Phone Number: | 9102781288 |
Fax Number: | 9102781288 |
NPI Enumeration Date: | 01/28/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SP0807X |
License Number: | 053353 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Psych/Mental Health, Child & Adolescent |
Taxonomy Definition: |