Provider Demographics
NPI:1518137801
Name:WHITNEY, CASSANDRA LEA (FNP)
Entity Type:Individual
Prefix:MRS
First Name:CASSANDRA
Middle Name:LEA
Last Name:WHITNEY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4714 S WESTERN ST
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79109-5950
Mailing Address - Country:US
Mailing Address - Phone:806-355-8263
Mailing Address - Fax:806-355-8796
Practice Address - Street 1:4714 S WESTERN ST
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79109-5950
Practice Address - Country:US
Practice Address - Phone:806-355-8263
Practice Address - Fax:806-355-8796
Is Sole Proprietor?:No
Enumeration Date:2008-03-03
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX667396363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily