Individual
JUSTIN BAILEY WHITLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARPN, NP-C
Contact information
Practice address
1500 RED RIVER ST, AUSTIN, TX 78701-1918
(512) 324-8399
Mailing address
1500 RED RIVER ST, AUSTIN, TX 78701-1918
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
1045496
TX
Other
Enumeration date
06/24/2021
Last updated
06/28/2022
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