Individual
JENNIFER WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
10332 S WESTERN AVE, CHICAGO, IL 60643-2411
(708) 476-2363
Mailing address
10201 S BELL AVE, CHICAGO, IL 60643-1901
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209017342
IL
Other
Enumeration date
03/15/2018
Last updated
06/28/2024
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