Individual
KEISHA WITHERSPOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
610 UPTOWN BLVD STE 2000, CEDAR HILL, TX 75104-3528
(972) 716-2969
(214) 594-8747
Mailing address
610 UPTOWN BLVD STE 2000, CEDAR HILL, TX 75104-3528
(972) 716-2969
(214) 594-8747
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
201902386NP-PP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP132272
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
743838
LICENSE
TX
01
—
AP132272
LICENSE
TX
Enumeration date
10/27/2016
Last updated
02/02/2023
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