Individual
KASSANDRA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
30472 23 MILE RD, CHESTERFIELD, MI 48047-1844
(586) 863-4000
Mailing address
29498 ASHLAND AVE APT 201, HARRISON TOWNSHIP, MI 48045-2289
(586) 229-4816
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704276592
MI
Other
Enumeration date
11/04/2024
Last updated
12/20/2024
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