Provider Demographics
NPI:1235721036
Name:BROWN-TOMPKINS, WHITNEY LEIGH (APRN)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:LEIGH
Last Name:BROWN-TOMPKINS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:WHITNEY
Other - Middle Name:
Other - Last Name:BROWN-TOMPKINS PLLC
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1623
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78624-1900
Mailing Address - Country:US
Mailing Address - Phone:970-443-7257
Mailing Address - Fax:
Practice Address - Street 1:1009 S MILAM ST STE 1
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:TX
Practice Address - Zip Code:78624-4579
Practice Address - Country:US
Practice Address - Phone:830-997-1265
Practice Address - Fax:830-997-2594
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-03
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1029110363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty