Individual
MRS. MISTY DAWN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
350 PINE STATE ST, LILLINGTON, NC 27546-9428
(910) 893-9700
Mailing address
350 PINE STATE ST, LILLINGTON, NC 27546-9428
(910) 893-9700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
WHIT2Q505E
NC
Other
Enumeration date
02/21/2018
Last updated
09/28/2022
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