Individual
JANICE LEE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1514 NIRA ST, JACKSONVILLE, FL 32207-8652
(904) 387-4991
(904) 384-3613
Mailing address
1514 NIRA ST, JACKSONVILLE, FL 32207-8652
(904) 387-4991
(904) 384-3613
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN3378682
FL
363LP2300X
Primary Care Nurse Practitioner
3378682
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014177100
—
FL
Enumeration date
06/20/2006
Last updated
01/02/2019
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