Individual
AMANDA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1201 E MICHIGAN AVE, JACKSON, MI 49201-1852
(517) 205-1431
Mailing address
1201 E MICHIGAN AVE, JACKSON, MI 49201-1852
(269) 704-3133
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008019
MI
Other
Enumeration date
01/09/2017
Last updated
05/11/2021
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