Provider Demographics
NPI:1003184243
Name:WITHERSPOON, BRIANA (ACNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:BRIANA
Middle Name:
Last Name:WITHERSPOON
Suffix:
Gender:F
Credentials:ACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3784 CHESAPEAKE DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-0808
Mailing Address - Country:US
Mailing Address - Phone:214-645-1852
Mailing Address - Fax:
Practice Address - Street 1:5939 HARRY HINES BOULEVARD MC9134
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-2102
Practice Address - Country:US
Practice Address - Phone:214-645-1852
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-02
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP144826363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care