| NPI | 1750646238 |
|---|---|
| Former Name | JENNIFER E WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 104871) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: KS 75695) |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2020-12-14 |