Individual
DEBORAH JO WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
802 N RIVERSIDE RD STE 100B, SAINT JOSEPH, MO 64507-2502
(816) 271-8133
(816) 271-8134
Mailing address
5301 FARAON ST STE 120, SAINT JOSEPH, MO 64506-3512
(816) 271-8133
(816) 271-8134
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2015038035
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2015038035
MO
Other
Enumeration date
11/17/2015
Last updated
10/09/2024
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