Deborah Jean Whitehead, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

MSR59025 Issued in MS

Practice address

208 County Road 3321
Booneville, MS 38829-7809

Phone

(662) 416-0345

Fax

(337) 593-1828

NPI assigned

May 25, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Deborah Jean Hall Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Foot Solutions LLC

  • Clinic Pharmacy
  • Woodland, MS
  • NPI 1508072273
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374019200000",
    "number": "1609822329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 COUNTY ROAD 3321",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388297809",
            "telephone_number": "662-416-0345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 COUNTY ROAD 3321",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388297809",
            "telephone_number": "662-416-0345",
            "fax_number": "337-593-1828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "DEBORAH",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2013-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "MSR59025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00114766",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "HALL",
            "middle_name": "JEAN",
            "prefix": "MISS",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Margaret Anne Wait, NP
• Wal-Mart Stores East LP
• Tiara L Walker
• Kristin Green Wesson, LPC
• Wheeler Clinic Inc.
• Kayla Frazier Williams, M.S.
• Tiaonia Alexis Williams
• Holly Wilson, NP-C
• Joseph Woodson Wolfe, M.D.
• Barrett Womack

• Nurse Practitioner in Booneville, MS
• Providers in Booneville, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.