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Individual

MRS. JAMIE WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
569 RIVER RD, FAIR HAVEN, NJ 07704-3262
(732) 530-0100
(732) 530-5895
Mailing address
PO BOX 8519, RED BANK, NJ 07701-8519
(732) 460-9840
(732) 460-9848

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00528300
NJ

Other

Enumeration date
10/29/2014
Last updated
06/15/2022
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