NPI 1043790876

Chrishonda Marie Whitlock, PAC

Practitioner Physician Assistant Alexandria, LA

Practice location

Address: 3330 Masonic Dr, Alexandria, LA 71301-3841
Phone: (318) 487-1122
Mailing address: 2041 Wise St, Alexandria, LA 71301-6161

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1043790876
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Aug 2018
Record last updated: 21 Aug 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.