Individual
JENNIFER LYNNE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
11110 MEDICAL CAMPUS RD, HAGERSTOWN, MD 21742-6700
(301) 790-9496
Mailing address
11116 MEDICAL CAMPUS RD, HAGERSTOWN, MD 21742-6710
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R269910
MD
363LF0000X
Family Nurse Practitioner
Primary
308084
NC
363LF0000X
Family Nurse Practitioner
R63397
NM
367A00000X
Advanced Practice Midwife
566
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588728380
—
NC
01
—
200YL
BCBS OF NC
NC
05
—
93230737
—
NM
01
—
NN5378A
MEDICARE
NC
Enumeration date
12/19/2006
Last updated
03/03/2026
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