Phyllis A Wakeland
PNP | Nurse Practitioner - Pediatrics
1500 Cooper St, Fort Worth
Texas, 76104-2710
682-885-7960
Phyllis A Wakeland is a Fort Worth, Texas based nurse practitioner who is specialized as Pediatrics nurse. Active license number of Phyllis A Wakeland is 514228 for Pediatrics in Texas. Her current practice location is 1500 Cooper St, Fort Worth. Patients can reach her at 682-885-7960 or can fax her at 682-885-1327. Phyllis A Wakeland is PNP with specialization in Pediatrics and her NPI number (Unique professional ID assigned by NPPES) is 1922204486.
Phyllis A Wakeland specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Phyllis A Wakeland speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Phyllis A Wakeland |
| Specialization: | Pediatrics Nurse Practitioner (PNP) |
| Gender: | Female |
| Credentials: | PNP |
| Practice Address: | 1500 Cooper St, Fort Worth,
Texas, 76104-2710 |
| Phone: | 682-885-7960 |
| Fax: | 682-885-1327 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1922204486 |
| NPI Enumeration Date: | 22 Jun, 2007 |
| NPI Last Update On: | 31 Aug, 2016 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Phyllis A Wakeland are as mentioned below.
| License Number | Specialization | State | Status | |
| 514228 | Pediatrics | Texas | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Phyllis A Wakeland such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 062625101 | Medicaid | Texas | |
| 062625103 | Medicaid | Texas | |
| 062625102 | Medicaid | Texas | |
| 150220508 | Medicaid | Texas | |
| 150220509 | Medicaid | Texas | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Phyllis A Wakeland
Po Box 99371,
Fort Worth, Texas |
| Zip: | 76199-0371 |
| Phone Number: | 682-885-1855 |
| Fax Number: | 682-885-7347 |
Patients can reach Phyllis A Wakeland at
1500 Cooper St, Fort Worth, Texas or can
call to book an appointment on 682-885-7960.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.