Individual
JENNIFER WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1320 W MAIN ST, NEWARK, OH 43055
(220) 564-4151
Mailing address
1320 W MAIN ST, NEWARK, OH 43055-1822
(220) 564-4151
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.15972
OH
363L00000X
Nurse Practitioner
APRNCNP15972
OH
363LF0000X
Family Nurse Practitioner
15972
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0105706
—
OH
Enumeration date
06/25/2014
Last updated
03/24/2023
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