Individual
MRS. LEAH WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1325 N WEST AVE, JACKSON, MI 49202-2050
(517) 768-0384
Mailing address
205 S MOSCOW RD, HORTON, MI 49246-9569
(517) 740-9885
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704268586
MI
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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