Scott White, Tara

Scott White, Tara is an individual health care provider with primary practice located at 14055 Seaway Rd , Gulfport MS 39503-4610. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Scott White, Tara can be contacted via phone (228) 868-5555.

Contact Information

Primary practice address
14055 Seaway Rd Gulfport MS 39503-4610
Phone: (228) 868-5555
Fax: (228) 574-2002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9229816 Florida

Profile Details

NPI number 1508866799
LBN Legal business name Scott White, Tara
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Mar 28th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508866799 NPPES
Florida MEDICAID 306933800

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