Brandon Lane Whitlock, AG-ACNP
Brandon Lane Whitlock, AG-ACNP is a Nurse Practitioner in Clarkston, Washington. Qualified in 2020, 6 years ago. Practices with Tri-State Memorial Hospital, a 34-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho and Washington.
- Years since qualifying
- 6
- Licensed in
- ID, WA
- In the registry since
- 2009
- Specialties on file
- 2
Practice location Address checks out
1119 Highland Ave Ste 7Clarkston, WA 99403-2836
Phone: (509) 758-1119
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 627 6th Ave, Lewiston, ID 83501-2424 — (208) 746-7784
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence AP61081911 (WA) |
|---|---|
| Family Nurse Practitioner | Taxonomy 363LF0000X · Licence 65287 (ID) |
Record details
| NPI number | 1124353719 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | AG-ACNP |
| Sole proprietor | Yes |
| NPI enumerated | October 15, 2009 |
| Last updated in NPPES | May 29, 2025 |
| Certification date | May 29, 2025 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Tri-State Memorial Hospital — 34 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 5 on file with Medicare |
Other providers in Clarkston
-
Eric Dudenhofer Arnp Ps
1271 Highland Ave # B, Clarkston, WA 99403-2846 · (509) 321-4590
-
Angel D Klippenstein, NP
808 Port Dr, Clarkston, WA 99403-6009 · (208) 298-0720
-
Megan Randall, MSN, FNP-C
1221 Highland Ave, Clarkston, WA 99403-2829 · (509) 769-2201
-
Cherie Jan Rash, ARNP
1207 Evergreen Ct, Clarkston, WA 99403-2843 · (509) 751-0600