Individual
MRS. TERESA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
20400 COLONEL GLENN RD, LITTLE ROCK, AR 72210-5323
(501) 821-5500
(501) 821-7062
Mailing address
PO BOX 502, BRYANT, AR 72089-0502
(501) 317-8012
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R49436
AR
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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