MRS. MICKI LEE WHITLOCK NP-C NPI 1316259203

NPI Information

  • NPI: 1316259203
  • Provider Name: MRS. MICKI LEE WHITLOCK, NP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2521 BEECHWOOD DR
    ELIZABETHTON, TN
    ZIP 37643
  • Phone: (423) 543-7919

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NPI Details

MRS. Micki Lee Whitlock, NP-C is a family nurse practitioner in Elizabethton, TN with 16 years of experience. MRS. Micki Lee Whitlock, NP-C NPI is 1316259203. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduation Year:2010

The provider's business location address is:

2521 BEECHWOOD DR
ELIZABETHTON, TN
ZIP 37643-062
Phone: (423) 543-7919

The NPI 1316259203 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/8/2010 and was last updated on 7/8/2010.

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
1363LF0000XNurse PractitionerFamily15083TENNESSEEYes

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: 11/21/2025

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