Individual
DR. JESSICA A. WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1825 LOGAN AVE, EMERGENCY DEPARTMENT, WATERLOO, IA 50703-1916
(319) 235-3697
(319) 235-3844
Mailing address
1825 LOGAN AVE, EMERGENCY DEPARTMENT, WATERLOO, IA 50703-1916
(319) 235-3697
(319) 235-3844
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
33899
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24195
WELLMARK BC/BS IOWA
IA
05
—
4240127
—
IA
01
—
P00207392
RAILROAD MEDICARE
IA
Enumeration date
10/31/2005
Last updated
10/22/2007
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