Individual
DEREK LEE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
385 OLD TROY RD, MONTICELLO, AR 71655-9181
(870) 723-3513
Mailing address
385 OLD TROY RD, MONTICELLO, AR 71655-9181
(870) 723-3513
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A005387
AR
363LF0000X
Family Nurse Practitioner
A005387
AR
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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