Individual
JESSICA LAUREN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
116 SEVEN MILE RIDGE RD, BURNSVILLE, NC 28714-8509
(828) 675-4116
Mailing address
123 HENDERSONVILLE RD, ASHEVILLE, NC 28803-2868
(828) 257-4400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2016-00332
NC
390200000X
Student in an Organized Health Care Education/Training Program
200870
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811302748
—
NC
Enumeration date
06/30/2014
Last updated
07/10/2024
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