Provider Demographics
NPI:1174383723
Name:WHITENIGHT, CHRISTY LYNNE (RN)
Entity type:Individual
Prefix:
First Name:CHRISTY
Middle Name:LYNNE
Last Name:WHITENIGHT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:CHRISTY
Other - Middle Name:LYNNE
Other - Last Name:WILSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2076 STATE ROUTE 1379
Mailing Address - Street 2:
Mailing Address - City:CENTRAL CITY
Mailing Address - State:KY
Mailing Address - Zip Code:42330-5208
Mailing Address - Country:US
Mailing Address - Phone:270-543-8747
Mailing Address - Fax:
Practice Address - Street 1:2076 STATE ROUTE 1379
Practice Address - Street 2:
Practice Address - City:CENTRAL CITY
Practice Address - State:KY
Practice Address - Zip Code:42330-5208
Practice Address - Country:US
Practice Address - Phone:270-543-8747
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-20
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4027893363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology