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1003432568
JACQUELINE ELAINE WHITE
NORTHPORT, AL
NPI
1003432568
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-119185)
Enumeration Date
2020-06-22
Last Update Date
2020-06-22
Business Address
JACQUELINE ELAINE WHITE CRNP
3105 31ST AVE
NORTHPORT, AL 35476-5240
Phone number: 205-292-7230
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Mailing Address
JACQUELINE ELAINE WHITE CRNP
3105 31ST AVE
NORTHPORT, AL 35476-5240
Phone number: 205-292-7230
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