Provider Demographics
NPI:1427948900
Name:WHITLEY, HILLARY LOUISE (APRN)
Entity type:Individual
Prefix:
First Name:HILLARY
Middle Name:LOUISE
Last Name:WHITLEY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4156 TYLER CT
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502-8983
Mailing Address - Country:US
Mailing Address - Phone:336-736-9151
Mailing Address - Fax:
Practice Address - Street 1:4156 TYLER CT
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-8983
Practice Address - Country:US
Practice Address - Phone:336-736-9151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-84497-122363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health