Provider Demographics
NPI:1316531189
Name:WHITNEY BROWN-TOMPKINS PLLC
Entity type:Organization
Organization Name:WHITNEY BROWN-TOMPKINS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WHITNEY
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:BROWN-TOMPKINS
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:970-443-7257
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:309-971-2658
Practice Address - Fax:830-992-2594
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-23
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty