Provider Demographics
NPI:1659107415
Name:MARCUM, WHITNEY MORGAN (FNP-BC)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:MORGAN
Last Name:MARCUM
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 1:20241 HIGHWAY H
Mailing Address - Street 2:
Mailing Address - City:HUGHESVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:65334-2711
Mailing Address - Country:US
Mailing Address - Phone:660-281-9755
Mailing Address - Fax:
Practice Address - Street 1:2100 W MAIN ST
Practice Address - Street 2:
Practice Address - City:SEDALIA
Practice Address - State:MO
Practice Address - Zip Code:65301-2351
Practice Address - Country:US
Practice Address - Phone:660-826-5750
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-10
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2024036780363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily