Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Thitiporn Sriprasert Whaley, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1295187789

Mrs. Thitiporn Sriprasert Whaley, NURSEPRACTITIONER is a Nurse Practitioner in Southaven, Mississippi. Qualified in 2014, 12 years ago. Practices with Desoto Family Care Clinic, PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
12
Licensed in
MS
In the registry since
2016

Practice location Address checks out

346 Stateline Rd W
Southaven, MS 38671-1610
Phone: (662) 510-5353
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 901516 (MS)

Record details

NPI number1295187789
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedJuly 7, 2016
Last updated in NPPESFebruary 6, 2025
Certification dateFebruary 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Desoto Family Care Clinic, Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Southaven