Individual
MRS. JENNIFER WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
2600 SAINT MICHAEL DR, TEXARKANA, TX 75503-2372
(903) 614-2688
Mailing address
195 PATRIOT WAY, TEXARKANA, TX 75501-9118
(903) 949-1190
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
845092
TX
Other
Enumeration date
02/29/2020
Last updated
02/29/2020
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