Individual
JENNIFER L WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1175 58TH AVE, STE 200, GREELEY, CO 80634-4807
(970) 495-0444
(970) 488-3106
Mailing address
1175 58TH AVE, STE 202, GREELEY, CO 80634-4807
(970) 495-0300
(970) 224-9624
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3308
CO
Other
Enumeration date
01/30/2012
Last updated
01/30/2012
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