Provider Demographics
NPI:1164234480
Name:WHITSETT, EMMA LOUISE (PA-C)
Entity type:Individual
Prefix:MRS
First Name:EMMA
Middle Name:LOUISE
Last Name:WHITSETT
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:EMMA
Other - Middle Name:LOUISE
Other - Last Name:HAYES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1185 HOOPER WOODS DR
Mailing Address - Street 2:
Mailing Address - City:FOREST
Mailing Address - State:VA
Mailing Address - Zip Code:24551-2293
Mailing Address - Country:US
Mailing Address - Phone:757-639-1783
Mailing Address - Fax:
Practice Address - Street 1:14005 WARDS RD # A
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501-7127
Practice Address - Country:US
Practice Address - Phone:434-239-0132
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-23
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant