Doctor Name: | MRS. AMBER GAIL-COX WHITLEY |
NPI Number: | 1144508987 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, FNP-C |
License Number: | 224111 |
Business Practice Address: | 1917 W Park Dr North Wilkesboro, NC - 286593585 |
Business Phone Number: | 3364694043 |
Business Fax Number: | |
Mailing Address: | 1917 W Park Dr, NORTH WILKESBORO |
State: | NC |
Postal Code: | 286593585 |
Phone Number: | 3364694043 |
Fax Number: | |
NPI Enumeration Date: | 07/27/2011 |
NPI Last Update Date: | 10/17/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 224111 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |