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NPI Code Detail

MEDICARE: MS. WHITNEY WEATHERSPOON FNP-BC

MEDICARE: MS. WHITNEY WEATHERSPOON 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
1363LF0000XFamily Nurse PractitionerAP125547TX

General Provider Information

NPI Number : 1710382890
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. WHITNEY WEATHERSPOON FNP-BC
Provider Business Mailing Address
First Line : 6000 BRYANT IRVIN RD
Second Line :
City : FORT WORTH
State : TX
Zip : 76132-4116
Country : US
Telephone Number : 817-292-8000
Fax Number :
Provider Business Practice Location Address
First Line : 6000 BRYANT IRVIN RD
Second Line :
City : FORT WORTH
State : TX
Zip : 76132-4116
Country : US
Telephone Number : 817-292-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/30/2014
Last Update Date : 09/18/2020

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