Organization
JESSICA M WHITE NURSING INC
Active
Other names
UNPC FAMILY MEDICINE CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JESSICA MORGAN WHITE MSN, FNP-BC, ACNP-BC (ARNP)
(818) 263-4362
Entity
Organization
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
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2089002
—
WA
Enumeration date
07/31/2020
Last updated
08/21/2020
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