White, Elizabeth

White, Elizabeth is an individual health care provider with primary practice located at 5909 U S Highway 49 Suite 30, Hattiesburg MS 39402-2860. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. White, Elizabeth can be contacted via phone (601) 296-2780.

Contact Information

Primary practice address
5909 U S Highway 49 Suite 30 Hattiesburg MS 39402-2860
Phone: (601) 296-2780
Fax: (601) 296-2781
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R871182 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 871182 Mississippi

Profile Details

NPI number 1184668584
LBN Legal business name White, Elizabeth
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jul 24th, 2020 - about 4 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 1184668584 NPPES
Mississippi MEDICAID 06986397

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