MEDICARE: MRS. KATHERINE WHITAKER MSN, APRN, FNP-BC

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
1	363LP2300X	Primary Care Nurse Practitioner	2025085876	TN

General Provider Information

NPI Number	:	1538017025
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATHERINE WHITAKER MSN, APRN, FNP-BC

Provider Business Mailing Address
First Line	:	220 DUKE ST
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37207-4504
Country	:	US
Telephone Number	:	615-509-9580
Fax Number	:

Provider Business Practice Location Address
First Line	:	397 WALLACE RD STE 100
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37211-8025
Country	:	US
Telephone Number	:	615-795-0944
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2026
Last Update Date	:	03/19/2026

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