Individual
JEREMIAH WHITE SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4615 DUNN AVE, MEMPHIS, TN 38117-6512
(573) 481-5473
(573) 481-5473
Mailing address
3340 GREENWAY DR, HORN LAKE, MS 38637-2642
(573) 481-5473
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
04/08/2025
Last updated
07/15/2025
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