Provider Demographics
NPI:1659796654
Name:HUFFAKER, WHITNEY (NP)
Entity Type:Individual
Prefix:MS
First Name:WHITNEY
Middle Name:
Last Name:HUFFAKER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1212 CLEAR LAKE RD
Mailing Address - Street 2:
Mailing Address - City:WEATHERFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76086-5874
Mailing Address - Country:US
Mailing Address - Phone:817-458-3300
Mailing Address - Fax:817-458-3370
Practice Address - Street 1:1212 CLEAR LAKE RD
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:TX
Practice Address - Zip Code:76086-5874
Practice Address - Country:US
Practice Address - Phone:817-458-3300
Practice Address - Fax:817-458-3370
Is Sole Proprietor?:No
Enumeration Date:2014-02-27
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX764519363LG0600X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology