Individual
JENNIFER LYNN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 SKYLINE DR, RUSSELLVILLE, AR 72801-3362
(479) 968-1298
(479) 968-6053
Mailing address
8 HOSPITAL DR, MORRILTON, AR 72110-4510
(501) 354-1561
(501) 354-1564
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/04/2012
Last updated
12/04/2012
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