Individual
AUDRA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1692 RIDGE RUNNER CT, CLARKSVILLE, TN 37042-8672
(270) 349-0442
Mailing address
1692 RIDGE RUNNER CT, CLARKSVILLE, TN 37042-8672
(270) 349-0442
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
65783
TN
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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