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Individual

JESSICA LEE WHITIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN APRN AGACNP-BC

Contact information

Practice address
1600 COIT RD STE 104, PLANO, TX 75075-6171
(972) 566-5411
(972) 519-8337
Mailing address
1822 WATERMARK LN, WYLIE, TX 75098-6419
(972) 965-2501

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP139538
TX

Other

Enumeration date
10/29/2018
Last updated
02/10/2022
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