Provider Demographics
NPI:1144582248
Name:JAMES, WHITNEY ALLISON SHEEN (MD)
Entity type:Individual
Prefix:DR
First Name:WHITNEY
Middle Name:ALLISON SHEEN
Last Name:JAMES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:WHITNEY
Other - Middle Name:ALLISON
Other - Last Name:SHEEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1231 WILLOW CREEK RD STE B
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86301-1405
Mailing Address - Country:US
Mailing Address - Phone:928-212-1479
Mailing Address - Fax:
Practice Address - Street 1:1231 WILLOW CREEK RD STE B
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86301-1405
Practice Address - Country:US
Practice Address - Phone:928-212-1479
Practice Address - Fax:844-380-3489
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-13
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ50744207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ211891OtherMEDICARE
AZ1144582248OtherNPPES