Provider Demographics
NPI:1316643000
Name:WHITLOW, BIANCA YVETTE (APRN)
Entity type:Individual
Prefix:MS
First Name:BIANCA
Middle Name:YVETTE
Last Name:WHITLOW
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1780 NICHOLASVILLE RD STE 202
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-1412
Mailing Address - Country:US
Mailing Address - Phone:859-260-5051
Mailing Address - Fax:859-260-5052
Practice Address - Street 1:1780 NICHOLASVILLE RD STE 202
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-1412
Practice Address - Country:US
Practice Address - Phone:859-260-5051
Practice Address - Fax:859-260-5052
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-03
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3018537363LA2200X, 363LA2200X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty