Individual
JACQUELIN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20333 CONANT ST, DETROIT, MI 48234-1228
(313) 368-0705
Mailing address
20333 CONANT ST, DETROIT, MI 48234-1228
(313) 368-0705
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
MI
Other
Enumeration date
12/29/2025
Last updated
07/21/2026
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