MS. SALLY LOU WHITWORTH PA-C NPI 1245514447

NPI Information

  • NPI: 1245514447
  • Provider Name: MS. SALLY LOU WHITWORTH, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • Address: 135 E. FIRST STREET
    LAKELAND, FL
    ZIP 33805
  • Phone: (863) 686-2728

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NPI Details

MS. Sally Lou Whitworth, PA-C is a medical physician assistant in Lakeland, FL. MS. Sally Lou Whitworth, PA-C NPI is 1245514447. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

135 E. FIRST STREET
LAKELAND, FL
ZIP 33805-609
Phone: (863) 686-2728
Fax: (863) 686-6737

The enumeration date for this NPI number is 10/6/2011 and was last updated on 10/6/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalPA9106097FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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