Individual
JESSICA MORGAN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP-BC, FNP
Contact information
Practice address
2607 BRIDGEPORT WAY W STE 2E, UNIVERSITY PLACE, WA 98466-4725
(253) 948-9927
Mailing address
2607 BRIDGEPORT WAY W STE 2E, UNIVERSITY PLACE, WA 98466-4725
(253) 948-9927
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
22168
CA
363LF0000X
Family Nurse Practitioner
Primary
60751029
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G8989534
MEDICARE NUMBER
WA
Enumeration date
12/06/2012
Last updated
10/15/2020
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