White, Jennifer

White, Jennifer is an individual health care provider with primary practice located at 1320 W Main St , Newark OH 43055. 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 / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. White, Jennifer can be contacted via phone (220) 564-4151.

Contact Information

Primary practice address
1320 W Main St Newark OH 43055
Phone: (220) 564-4151
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRNCNP15972 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 15972 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN.CNP.15972 Ohio

Profile Details

NPI number 1710392923
LBN Legal business name White, Jennifer
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2014
Last updated Mar 24th, 2023 - about last year

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 1710392923 NPPES
Ohio MEDICAID 0105706

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