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Individual

MRS. JOLYNN M WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
239 BOWLING GREEN RD, LEXINGTON, MS 39095-5167
(662) 834-1321
(662) 834-2111
Mailing address
PO BOX 246, WEST, MS 39192-0246
(662) 967-2015

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R824084
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0118508
MS
01
500007683
RAILROAD MEDICARE
MS
Enumeration date
10/03/2006
Last updated
12/22/2015
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