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Individual
JESSICA WHITE
Active
Individual
JESSICA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301116045
MI
207QA0505X
Adult Medicine Physician
4301116045
MI
208M00000X
Hospitalist Physician
Primary
4301116045
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/22/2015
Last updated
05/07/2026
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