Individual
JACOB ANDREW WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
(660) 888-2238
Mailing address
5502 PRAIRIE CREEK DR, COLUMBIA, MO 65203-8463
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/01/2025
Last updated
12/16/2025
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