Provider Demographics
NPI:1386335974
Name:VOCKER, WHITNEY DANIELLE
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:DANIELLE
Last Name:VOCKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:WHITNEY
Other - Middle Name:DANIELLE
Other - Last Name:GREENWOOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:115 W JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:FARMERVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71241-2807
Mailing Address - Country:US
Mailing Address - Phone:318-282-1718
Mailing Address - Fax:318-301-4142
Practice Address - Street 1:115 W JACKSON STREET
Practice Address - Street 2:
Practice Address - City:FARMERVILLE
Practice Address - State:LA
Practice Address - Zip Code:71241-2807
Practice Address - Country:US
Practice Address - Phone:318-282-1718
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-16
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN140402163W00000X
LA232329363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
No163W00000XNursing Service ProvidersRegistered Nurse