MEDICARE: WHITNEY L SPRAGGINS FNP-C

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	363LP0200X	Pediatric Nurse Practitioner	788899	TX

General Provider Information

NPI Number	:	1922541101
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WHITNEY L SPRAGGINS FNP-C

Provider Business Mailing Address
First Line	:	2700 VILLAGE PKWY STE 200
Second Line	:
City	:	HIGHLAND VILLAGE
State	:	TX
Zip	:	75077-3286
Country	:	US
Telephone Number	:	972-318-0030
Fax Number	:	972-318-0033

Provider Business Practice Location Address
First Line	:	2700 VILLAGE PKWY STE 200
Second Line	:
City	:	HIGHLAND VILLAGE
State	:	TX
Zip	:	75077-3286
Country	:	US
Telephone Number	:	972-318-0030
Fax Number	:	972-318-0033

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

Provider Enumeration Date	:	11/21/2016
Last Update Date	:	12/13/2024

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