White, Jalisa

White, Jalisa is an sole proprietor health care provider with primary practice located at 612 S 6Th St , Edwardsville KS 66111-1393. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Neonatal Intensive Care, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care. Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care is her primary health care specialty. White, Jalisa can be contacted via phone (913) 309-9281.

Contact Information

Primary practice address
612 S 6Th St Edwardsville KS 66111-1393
Phone: (913) 309-9281
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Neonatal Intensive Care 163WN0002X 13-131827-041 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X 53-81350-041 Kansas

Profile Details

NPI number 1497486567
LBN Legal business name White, Jalisa
Credentials NNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2022
Last updated Oct 31st, 2022 - about 2 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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