Individual
JACOB EUGENE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(812) 478-1825
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28211938A
IN
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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