Provider Demographics
NPI:1528653409
Name:HARPER, WHITLEY ROBERTS (FNP-BC)
Entity type:Individual
Prefix:
First Name:WHITLEY ROBERTS
Middle Name:
Last Name:HARPER
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 EDWINA ST
Mailing Address - Street 2:
Mailing Address - City:EVERGREEN
Mailing Address - State:AL
Mailing Address - Zip Code:36401-3319
Mailing Address - Country:US
Mailing Address - Phone:251-578-4300
Mailing Address - Fax:251-578-4307
Practice Address - Street 1:106 EDWINA ST
Practice Address - Street 2:
Practice Address - City:EVERGREEN
Practice Address - State:AL
Practice Address - Zip Code:36401-3319
Practice Address - Country:US
Practice Address - Phone:251-578-4300
Practice Address - Fax:251-578-4307
Is Sole Proprietor?:No
Enumeration Date:2021-03-03
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-129348163W00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse