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Individual

MIRANDA D WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
6027 WALNUT GROVE RD STE 114, MEMPHIS, TN 38120-2115
(901) 747-1000
(901) 747-1001
Mailing address
7712 KERI CV, OLIVE BRANCH, MS 38654-5049
(901) 832-6805

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN23097
TN

Other

Enumeration date
10/06/2017
Last updated
10/30/2024
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