Individual
MRS. JACQUELYN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9800 TROUP AVE, KANSAS CITY, KS 66111-1870
(913) 297-7472
Mailing address
2411 HOLMES ST, KANSAS CITY, MO 64108-2741
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2025034709
MO
Other
Enumeration date
01/25/2024
Last updated
06/07/2026
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