Individual
MR. DAVID JASON WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
2070 BIDDLE AVE, WYANDOTTE, MI 48192-4080
(800) 653-6568
Mailing address
4021 KEITH ST NW, CLEVELAND, TN 37312-4341
(423) 476-2464
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
35557
TN
363LF0000X
Family Nurse Practitioner
Primary
4704258725
MI
Other
Enumeration date
11/22/2023
Last updated
03/17/2025
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