ANN L CLARK-WHITLOCK


Address: 205 Dr Martin Luther King Jr St N, St Petersburg, FL 33701-3109
Phone: 7278246900

ANN L CLARK-WHITLOCK (NPI# 1881868107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881868107
Entity Type Individual
Full Name ANN L CLARK-WHITLOCK
Credential ARNP
Practice Address 205 Dr Martin Luther King Jr St N
St Petersburg
FL 33701-3109
Mailing Address 949 41st Ave N
St Petersburg
FL 33703-4527
Practice Telephone 7278246900
Mailing Telephone 7275281066
Mailing Fax Number 7275281066
Enumeration Date 2008-04-17
Last Update Date 2013-01-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
ARNP 9236081 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MD PRESCRIBER NUMBER 62156 01

Office Location

Street Address 205 DR MARTIN LUTHER KING JR ST N
City ST PETERSBURG
State FL
Zip Code 33701-3109

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558390989 Christopher Loren Beach Dentist 205 Dr Martin Luther King Jr St N, St Petersburg, FL 33701-3109 2006-06-30
1972919611 Teresa Gerard Case Management 205 Dr Martin Luther King Jr St N, St Petersburg, FL 33701-3109 2014-07-02
1245655976 Jaquelinne Nova Case Manager/Care Coordinator 205 Dr Martin Luther King Jr St N, St Petersburg, FL 33701-3109 2014-03-05
1013347517 Katrina Welch Case Manager/Care Coordinator 205 Dr Martin Luther King Jr St N, St Petersburg, FL 33701-3109 2013-11-19
1609119205 Alicia Cosma Gilbert Nurse Practitioner 205 Dr Martin Luther King Jr St N, St Petersburg, FL 33701-3109 2013-04-02
1417298761 Florida Doh Clinic/Center 205 Dr Martin Luther King Jr St N, St Petersburg, FL 33701-3109 2013-03-12
1245594241 Sugandha Purohit Obstetrics & Gynecology 205 Dr Martin Luther King Jr St N, St Petersburg, FL 33701-3109 2012-06-25
1205030426 Ronalda Futtrell-hobson Nurse Practitioner 205 Dr Martin Luther King Jr St N, Assistant Director's Office 2-176, St Petersburg, FL 33701-3109 2007-06-12
1043421423 Pinellas County Health Department Nurse Practitioner 205 Dr Martin Luther King Jr St N, St Petersburg, FL 33701-3109 2007-05-25
1508070913 Festus Addo Agyekum Physician Assistant 205 Dr Martin Luther King Jr St N, St Petersburg, FL 33701-3109 2007-05-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013514603 Tien Thuy Hoang Pharmacist 875 Dr M.l.k. Jr St N, St. Petersburg, FL 33701 2020-10-06
1851920953 Michelle Tedrowe Student in an Organized Health Care Education/Training Program Bayfront Health St Petersburg Family Care Center, 700 6th Street South, St. Petersburg, FL 33701 2020-04-02
1164070264 Melissa Joy Fitzpatrick Occupational Therapist 239 14 Ave Ne, St Petersburg, FL 33701 2019-09-01
1841763091 William Carpenter Scott Dentist 239 2nd Ave S # 100, St Petersburg, FL 33701 2019-01-09
1992289318 Westminster Senior Services, Inc. Registered Nurse 830 North Shore Dr. Ne, St. Petersburg, FL 33701 2018-09-21
1265929780 B&b Florida Eye Care Pllc Optometrist 1380 4th St N, St. Petersburg, FL 33701 2018-04-19
1730684895 Loraine Marie Torres Garcia Student in an Organized Health Care Education/Training Program Bayfront Health St Petersburg, 700 6th Street South, St Petersburg, FL 33701 2018-03-29
1598267445 Vincent Malik Dehili Psychologist 146 2nd Street North, Suite 305, St. Petersburg, FL 33701 2018-03-07
1770083073 Megan Sanborn Nurse Practitioner 601 5th St S Ste 304, St Petersburg, FL 33701 2018-02-14
1174037089 Julius Griffin Licensed Practical Nurse 1115 Highland St N, Apt B, Saint Petersburg, FL 33701 2017-11-30
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780240721 Brittany Michaela Gutschmidt Nurse Practitioner 1030 53rd Ave N, St Petersburg, FL 33703-2738 2019-05-15
1639726698 Dana Marie Mlynarski Nurse Practitioner 3301 66th St N Ste A, St Petersburg, FL 33710-1547 2019-08-23
1508321969 Rose Hanna Tyler Nurse Practitioner 3301 66th St N, St Petersburg, FL 33710-1547 2019-02-09
1487127379 Jessica Tonkin Nurse Practitioner 12450 Roosevelt Blvd N, St Petersburg, FL 33716-1902 2019-01-03
1497262984 Lavanya Gopal Nurse Practitioner 3520 38th Ave N, St Petersburg, FL 33713 2018-01-05
1851814495 Premier Health and Care for You Nurse Practitioner 3622 Central Ave, St Petersburg, FL 33711-1345 2017-07-25
1700327129 Susan Maurer Nurse Practitioner 6600 30th Ave N, St Petersburg, FL 33710-3102 2017-03-17
1205372844 Kory Turnow Nurse Practitioner 1839 Central Ave, St Petersburg, FL 33713-8900 2017-01-06
1588019913 Natalie Brooks Nurse Practitioner 1839 Central Ave, St Petersburg, FL 33713-8900 2016-05-04
1659730422 Alesia D Odums Nurse Practitioner 1839 Central Ave, St Petersburg, FL 33713-8900 2016-02-22
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Competitor

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City ST PETERSBURG
Zip Code 33701

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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