Individual provider · Type 1 NPI

Whitney Childs Pack, CPNP-AC

Acute Care Nurse Practitioner · Fort Worth, TX

NPI number 1396401030 Active

Practice location

801 7th Ave
Fort Worth, TX 76104-2733

Call (682) 885-3817 Map

Fax (682) 885-3825

Mailing address

PO Box 733784
Dallas, TX 75373-3784

Specialties and licenses

Taxonomy	Code	License
Pediatrics Physician	208000000X	1020646 (TX)
Acute Care Nurse Practitioner Primary	363LA2100X	1020646 (TX)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1396401030

Whitney Childs Pack, CPNP-AC's National Provider Identifier is 1396401030, issued on Nov 16, 2021. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Fort Worth, TX. The record was last updated on Jan 7, 2025.