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Individual
DR. JUSTIN RICHARD WHITE
Active
Individual
DR. JUSTIN RICHARD WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP,CNP,PMHNP,LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
I-07579
NM
163W00000X
Registered Nurse
RN-71946
NM
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
95012483
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP4713
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP-01985
NM
Other
Enumeration date
01/25/2009
Last updated
04/10/2025
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