Whitney Victoria Miller, FNP-C | |
2202 Us Highway 380, Suite #112, Bridgeport, TX 76426-2176 | |
(940) 683-2338 | |
(940) 683-2394 |
Full Name | Whitney Victoria Miller |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 2202 Us Highway 380, Bridgeport, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477830792 | NPI | - | NPPES |
872N48 | Other | TX | BCBS |
298999801 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 121149 (Texas) | Primary |
Entity Name | Wise Clinical Care Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679719801 PECOS PAC ID: 6204988975 Enrollment ID: O20090710000550 |
Mailing Address | Practice Location Address |
---|---|
Whitney Victoria Miller, FNP-C Po Box 2078, Decatur, TX 76234-6156 Ph: (940) 683-2338 | Whitney Victoria Miller, FNP-C 2202 Us Highway 380, Suite #112, Bridgeport, TX 76426-2176 Ph: (940) 683-2338 |
Leisha Monette Blaylock, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2202 Us Highway 380, Suite 112, Bridgeport, TX 76426 Phone: 940-683-2338 Fax: 940-683-2394 | |
Kaye Puckett, DNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2202 Us Highway 380 Ste 112, Bridgeport, TX 76426 Phone: 940-683-2338 Fax: 940-683-2394 | |
Ashley Jendusa, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1306 13th St, Bridgeport, TX 76426 Phone: 940-255-6552 | |
Mr. Alexander Lee Pendergrass, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 808 Woodrow Wilson Ray Cir, Bridgeport, TX 76426 Phone: 817-966-2960 |