Individual
KENDRA L WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APNP, FNP-C
Contact information
Practice address
725 S WEBSTER AVE STE 303, GREEN BAY, WI 54301-3539
(920) 431-5650
(920) 433-7400
Mailing address
744 S WEBSTER AVE, MEDICAL STAFF SERVICES, GREEN BAY, WI 54301
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
11439
WI
363LF0000X
Family Nurse Practitioner
Primary
11439-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100194212
—
WI
Enumeration date
10/14/2021
Last updated
07/31/2024
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