Individual
JESSICA R WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1892 ENLISTED HERO DR UNIT A, JBER, AK 99506-1653
(907) 570-7846
Mailing address
1892 ENLISTED HERO DR UNIT A, JBER, AK 99506-1653
(907) 570-7846
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
119193
AK
164W00000X
Licensed Practical Nurse
NURP7133
AK
Other
Enumeration date
01/20/2016
Last updated
09/25/2020
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