Individual
JOSEPHINE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1200 CHILDRENS AVE # 6A, OKLAHOMA CITY, OK 73104-4637
(405) 271-6827
Mailing address
100 PARK DR APT 637, MAUMELLE, AR 72113-7429
(407) 745-1196
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R094911
AR
363LP0200X
Pediatric Nurse Practitioner
124056
AR
363LP0200X
Pediatric Nurse Practitioner
Primary
208981
OK
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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