Individual
REBECCA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
724 N 22ND ST, SAINT JOSEPH, MO 64506-2604
(816) 390-4084
Mailing address
724 N 22ND ST, SAINT JOSEPH, MO 64506-2604
(816) 390-4084
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
2009017595
MO
Other
Enumeration date
02/03/2022
Last updated
02/03/2022
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