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Individual

JEANNE S. WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
12380 PLAZA DR, PARMA, OH 44130-1043
(216) 898-8399
(216) 898-8455
Mailing address
3279 RUSTIC LAKE DR, MEDINA, OH 44256-8721
(330) 241-4440

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP-08490
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2624039
OH
Enumeration date
06/22/2006
Last updated
10/18/2010
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