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1720956816 NPI number — KIERRA NICOLE WHITAKER

NPI Number: 1720956816
Health Care Provider/Practitioner: KIERRA NICOLE WHITAKER

Information about “1720956816” NPI (KIERRA NICOLE WHITAKER) exists in 1720956816 in HTML format HTML  |  1720956816 in plain Text format TXT  |  1720956816 in PDF (Portable Document Format) PDF  |  1720956816 in an XML format XML  formats.

NPI Number : 1720956816 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1720956816",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WHITAKER",
    "FirstName": "KIERRA",
    "MiddleName": "NICOLE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HART",
    "OtherFirstName": "KIERRA",
    "OtherMiddleName": "NICOLE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "523 S FANNIN AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TYLER",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75702-8204",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "903-535-9041",
    "MailingAddressFaxNumber": "903-531-9490",
    "FirstLinePracticeLocationAddress": "510 E COMMERCE ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JACKSONVILLE",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75766-4910",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "903-535-9041",
    "PracticeLocationAddressFaxNumber": "903-586-0001",
    "EnumerationDate": "10/29/2025",
    "LastUpdateDate": "10/29/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LF0000X",
        "TaxonomyName": "Family Nurse Practitioner",
        "LicenseNumber": "1216421",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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