Individual
JENNIFER L WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
5470 KINGS ISLAND DRIVE, STE 120, MASON, OH 45040-2796
(513) 791-4490
(513) 978-5050
Mailing address
5470 KINGS ISLAND DRIVE, STE 120, MASON, OH 45040-2796
(513) 791-4490
(513) 978-5050
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN304559
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
COA.12160-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201042820
—
IN
05
—
3142772
—
OH
05
—
7100185390
—
KY
Enumeration date
01/18/2011
Last updated
01/30/2024
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