Individual
JORDAN B WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4820 NORTHAMPTON DR, JACKSON, MS 39211-5730
(601) 616-1710
Mailing address
411 WESTPORT WAY, FLOWOOD, MS 39232-7543
(601) 616-1710
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
T-5858
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
02/06/2024
Last updated
07/01/2025
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