Provider Demographics
NPI:1235000662
Name:LEEK, WHITNEY NICOLE
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:NICOLE
Last Name:LEEK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:598 STOUT RUN RD
Mailing Address - Street 2:
Mailing Address - City:SMITHFIELD
Mailing Address - State:WV
Mailing Address - Zip Code:26437-8662
Mailing Address - Country:US
Mailing Address - Phone:304-815-3204
Mailing Address - Fax:
Practice Address - Street 1:598 STOUT RUN RD
Practice Address - Street 2:
Practice Address - City:SMITHFIELD
Practice Address - State:WV
Practice Address - Zip Code:26437-8662
Practice Address - Country:US
Practice Address - Phone:304-815-3204
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-17
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant