White, Jackie C

White, Jackie C is an individual health care provider with primary practice located at 2801 Se 1St Ave 101, Ocala FL 34471-0409. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. White, Jackie C can be contacted via phone (352) 690-6300.

Contact Information

Primary practice address
2801 Se 1St Ave 101 Ocala FL 34471-0409
Phone: (352) 690-6300
Fax: (352) 690-6802
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X ARNP9189802 Florida

Profile Details

NPI number 1487674529
LBN Legal business name White, Jackie C
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jul 8th, 2007 - about 17 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 1487674529 NPPES
Florida MEDICAID 305220600

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