Provider Demographics
NPI:1770903304
Name:DOWD, WHITNEY L (DNP)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:L
Last Name:DOWD
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 MEDI PARK DR STE 136
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-2107
Mailing Address - Country:US
Mailing Address - Phone:806-414-5577
Mailing Address - Fax:806-641-2410
Practice Address - Street 1:1901 MEDI PARK DR STE 136
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-2107
Practice Address - Country:US
Practice Address - Phone:806-414-5577
Practice Address - Fax:806-641-2410
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-22
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP125470363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3378309-02Medicaid
TX3378309-02Medicaid