Individual
JEFFREY O'NEAL WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
501 BROADWAY ST, DELHI, LA 71232-3001
(318) 878-6650
(318) 878-2880
Mailing address
8425 HIGHWAY 17, WINNSBORO, LA 71295-5424
(318) 381-2397
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP.07482
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP07482
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13944619
CAQH
—
05
—
2348337
—
LA
01
—
F06131093
CERTIFICATION
—
Enumeration date
07/03/2013
Last updated
05/26/2021
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