Provider Demographics
NPI:1861621922
Name:WHITFIELD, RALPHINE RENEE (DNP, PHARMD, PMHNP)
Entity type:Individual
Prefix:DR
First Name:RALPHINE
Middle Name:RENEE
Last Name:WHITFIELD
Suffix:
Gender:F
Credentials:DNP, PHARMD, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6600 VAN AALST BLVD BLDG 9250
Mailing Address - Street 2:
Mailing Address - City:FORT BENNING
Mailing Address - State:GA
Mailing Address - Zip Code:31905-2102
Mailing Address - Country:US
Mailing Address - Phone:762-408-4087
Mailing Address - Fax:762-408-8226
Practice Address - Street 1:6600 VAN AALST BLVD BLDG 9250
Practice Address - Street 2:
Practice Address - City:FORT BENNING
Practice Address - State:GA
Practice Address - Zip Code:31905-2102
Practice Address - Country:US
Practice Address - Phone:762-408-4087
Practice Address - Fax:762-408-8226
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-10
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH0236741835P1200X
FLPS305451835P1200X
AL154801835P1200X
GARN261652363LA2200X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health