Provider Demographics
NPI:1962365486
Name:BRINAGER, WHITNEY NICOLE (APRN)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:NICOLE
Last Name:BRINAGER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:WHITNEY
Other - Middle Name:
Other - Last Name:FLEMING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:285 SOUTHSIDE MALL RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH WILLIAMSON
Mailing Address - State:KY
Mailing Address - Zip Code:41503-3905
Mailing Address - Country:US
Mailing Address - Phone:606-237-3969
Mailing Address - Fax:
Practice Address - Street 1:285 SOUTHSIDE MALL RD
Practice Address - Street 2:
Practice Address - City:SOUTH WILLIAMSON
Practice Address - State:KY
Practice Address - Zip Code:41503-3905
Practice Address - Country:US
Practice Address - Phone:606-237-3969
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-12-03
Last Update Date:2025-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4049476363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner