Doctor Name: | MRS. HEATHER FAYE CLINTON |
NPI Number: | 1700192697 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | 677845 |
Business Practice Address: | 202 E Jefferson Ave Whitney, TX - 766922398 |
Business Phone Number: | 2546942221 |
Business Fax Number: | 2546949978 |
Mailing Address: | 202 E Jefferson Ave, WHITNEY |
State: | TX |
Postal Code: | 766922398 |
Phone Number: | 2546942221 |
Fax Number: | 2546949978 |
NPI Enumeration Date: | 08/30/2010 |
NPI Last Update Date: | 08/30/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 677845 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |