Individual
AMY WATSON WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
2863 HIGHWAY 45 BYP, JACKSON, TN 38305-3618
(731) 660-8300
(731) 660-8301
Mailing address
PO BOX 400, JACKSON, TN 38302-0400
(731) 423-8697
(731) 422-5743
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
APN6643
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3905119
—
TN
Enumeration date
03/14/2006
Last updated
11/29/2012
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