Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ethan Preston, FNP

Individual provider Family Nurse Practitioner · NPI 1982191169

Ethan Preston, FNP is a Nurse Practitioner in Georgetown, Texas. Qualified in 2017, 9 years ago. Practices with Wiseman Family Practice PLLC, a 34-clinician group and offers telehealth. Licensed in Michigan and Texas.

Years since qualifying
9
Licensed in
MI, TX
In the registry since
2018
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1502 Blue Ridge Dr Ste 100
Georgetown, TX 78626-1002
Phone: (855) 220-9655
Fax: (855) 220-9655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1077676 (TX)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 4704266333 (MI)

Record details

NPI number1982191169
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedApril 13, 2018
Last updated in NPPESMarch 4, 2025
Certification dateMarch 4, 2025
Mailing address1502 Blue Ridge Dr Ste 100, Georgetown, TX 78626-1002

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Wiseman Family Practice Pllc — 34 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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