Individual
DEBRA SUE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
800 W 9TH ST, JASPER, IN 47546-2514
(812) 996-0323
(812) 996-0321
Mailing address
6493 E FREELANDVILLE RD, OAKTOWN, IN 47561-8204
(812) 887-3546
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
28090769A
IN
363LF0000X
Family Nurse Practitioner
Primary
28090769
IN
Other
Enumeration date
10/29/2014
Last updated
10/01/2020
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