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Individual

JENNIFER MICHELLE WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
2115 S FREMONT AVE STE 2300, SPRINGFIELD, MO 65804-2233
(417) 820-5600
Mailing address
2115 S FREMONT AVE STE 2300, SPRINGFIELD, MO 65804-2233
(417) 820-5600

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2018006453
MO
363AM0700X
Medical Physician Assistant

Other

Enumeration date
02/07/2018
Last updated
01/28/2022
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