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

Kierra Nicole Whitaker

Individual provider Family Nurse Practitioner · NPI 1720956816

Kierra Nicole Whitaker is a Nurse Practitioner in Jacksonville, Texas. Qualified in 2025, 1 year ago. Practices with Tyler Family Circle of Care, a 28-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
1
Licensed in
TX
In the registry since
2025

Practice location Address checks out

510 E Commerce St
Jacksonville, TX 75766-4910
Phone: (903) 535-9041
Fax: (903) 586-0001
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1216421 (TX)

Record details

NPI number1720956816
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 29, 2025
Last updated in NPPESOctober 29, 2025
Certification dateOctober 29, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Tyler Family Circle Of Care — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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