Individual
ERICA ANNE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1125 MADISON ST, JEFFERSON CITY, MO 65101-5227
(573) 632-5337
Mailing address
515 PHEASANT RUN RD, JEFFERSON CITY, MO 65109-4137
(573) 821-4119
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F07210129
MO
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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