KELLY MOTT WHITEHEAD FNP-C NPI 1801442405

NPI Information

  • NPI: 1801442405
  • Provider Name: KELLY MOTT WHITEHEAD, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1322 ELTON RD STE F
    JENNINGS, LA
    ZIP 70546
  • Phone: (337) 824-8868

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NPI Details

Kelly Mott Whitehead, FNP-C is a family nurse practitioner in Jennings, LA with 7 years of experience. Kelly Mott Whitehead, FNP-C NPI is 1801442405. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1322 ELTON RD STE F
JENNINGS, LA
ZIP 70546-100
Phone: (337) 824-8868
Fax: (337) 824-8829

The NPI 1801442405 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/11/2019 and was last updated on 7/17/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily207292LOUISIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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