Individual
ELIZABETH WHITES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
121 E BAKER ST, INDIANOLA, MS 38751-2450
(662) 887-5235
Mailing address
403 E PARK AVE, GREENWOOD, MS 38930-3129
(662) 822-1685
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902673
MS
Other
Enumeration date
06/14/2018
Last updated
06/14/2018
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