Provider Demographics
NPI:1124344346
Name:BEAN, WHITNEY (WHNP)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:
Last Name:BEAN
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:740 MIDDLE CREEK RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SEVIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37862-5053
Mailing Address - Country:US
Mailing Address - Phone:865-908-9888
Mailing Address - Fax:
Practice Address - Street 1:740 MIDDLE CREEK RD
Practice Address - Street 2:SUITE 200
Practice Address - City:SEVIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:37862-5053
Practice Address - Country:US
Practice Address - Phone:865-908-9888
Practice Address - Fax:865-908-8756
Is Sole Proprietor?:No
Enumeration Date:2010-04-13
Last Update Date:2013-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN14906363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health