Individual
PATRICIA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2245 NORTH STATE STREET, CLARKSDALE, MS 38614-7202
(662) 627-4131
Mailing address
510 HIGHWAY 322, P O BOX 1216, CLARKSDALE, MS 38614-4717
(662) 624-4292
(662) 624-4354
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R125850
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00111534
—
MS
Enumeration date
07/18/2005
Last updated
12/31/2014
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