Individual
JESSICA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
2112 BOLL ST APT 405, DALLAS, TX 75204-2811
(817) 821-2093
Mailing address
2112 BOLL ST APT 405, DALLAS, TX 75204-2811
(817) 821-2093
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1204494
TX
Other
Enumeration date
04/30/2025
Last updated
06/25/2025
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