Individual provider · Type 1 NPI

Thomas Lee Whitehead Jr., FNP-C

Nurse Practitioner · Brawley, CA

NPI number 1982122560 Active

Practice location

207 W Legion Rd
Brawley, CA 92227-7780

Fax (760) 351-3130

Mailing address

2555 Valle Verde Ln
Imperial, CA 92251-8003

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X95007261 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1982122560

Thomas Lee Whitehead Jr., FNP-C's National Provider Identifier is 1982122560, issued on Sep 5, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Brawley, CA. The record was last updated on Sep 5, 2017.