Individual
JACQUELINE ELAINE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3105 31ST AVE, NORTHPORT, AL 35476-5240
(205) 292-7230
Mailing address
3105 31ST AVE, NORTHPORT, AL 35476-5240
(205) 292-7230
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-119185
AL
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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