Individual
JANE WHITELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
2831 E PRESIDENT GEORGE BUSH HWY, RICHARDSON, TX 75082-3561
(972) 680-0668
Mailing address
9640 BRYSON DR, DALLAS, TX 75238-2927
(903) 808-5806
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1108665
TX
Other
Enumeration date
01/27/2023
Last updated
01/27/2023
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