Individual
JENNIFER NICOLE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7301 POE AVE, DAYTON, OH 45414-2559
(937) 280-4631
(937) 280-4630
Mailing address
7301 POE AVE, DAYTON, OH 45414-2559
(937) 280-4631
(937) 280-4630
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
35091769
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2861121
—
OH
05
—
7100103790
—
KY
Enumeration date
03/28/2007
Last updated
11/20/2025
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