White, Jenna

White, Jenna is an individual health care provider with primary practice located at 1852 Valmont St , Mandeville LA 70448-3857. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. White, Jenna can be contacted via phone (512) 963-1635.

Contact Information

Primary practice address
1852 Valmont St Mandeville LA 70448-3857
Phone: (512) 963-1635
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 2022019007 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209026788 Illinois

Profile Details

NPI number 1568098622
LBN Legal business name White, Jenna
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2020
Last updated Feb 10th, 2023 - 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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