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NPI Code Detail

MEDICARE: MS. WHITLEY ROGERS FNP

MEDICARE: MS. WHITLEY ROGERS FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner903879MS
2363LF0000XFamily Nurse Practitioner95014243CA
3363LF0000XFamily Nurse Practitioner37567TN

General Provider Information

NPI Number : 1336775261
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. WHITLEY ROGERS FNP
Provider Business Mailing Address
First Line : 320 COUNTY ROAD 401
Second Line :
City : SHANNON
State : MS
Zip : 38868-9742
Country : US
Telephone Number : 662-231-2243
Fax Number :
Provider Business Practice Location Address
First Line : 222 2ND AVE S FL 17
Second Line :
City : NASHVILLE
State : TN
Zip : 37201-2366
Country : US
Telephone Number : 888-731-8994
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2020
Last Update Date : 02/10/2025

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