Individual
CHRISTOPHER KEITH WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
8001 YOUREE DR STE 540, SHREVEPORT, LA 71115-2343
(318) 631-9121
(318) 631-9126
Mailing address
3217 MABEL ST, SHREVEPORT, LA 71103-4022
(318) 631-9121
(318) 631-9126
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP06664
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP06664
ACUTE NURSE PRACTITIONER
LA
Enumeration date
09/08/2011
Last updated
09/09/2020
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