Provider Demographics
NPI:1972741403
Name:LEE, WHITNEY ERICA (PHYSICIAN ASSISTANT)
Entity type:Individual
Prefix:MRS
First Name:WHITNEY
Middle Name:ERICA
Last Name:LEE
Suffix:
Gender:F
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 20TH AVENUE NORTH
Mailing Address - Street 2:#602
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203
Mailing Address - Country:US
Mailing Address - Phone:615-320-3999
Mailing Address - Fax:615-320-8877
Practice Address - Street 1:300 20TH AVENUE NORTH
Practice Address - Street 2:#602
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203
Practice Address - Country:US
Practice Address - Phone:615-320-3999
Practice Address - Fax:615-320-8877
Is Sole Proprietor?:No
Enumeration Date:2009-01-21
Last Update Date:2009-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1083792207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine