Individual
BRIANNA EDWARDS WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
5905 N PROSPECT RD, PEORIA, IL 61614-4311
(309) 308-5100
Mailing address
115 LYNN ST, WASHINGTON, IL 61571-2836
(309) 256-9421
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209024724
IL
Other
Enumeration date
03/06/2022
Last updated
09/24/2024
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