White, Jennifer L

White, Jennifer L is an sole proprietor health care provider with primary practice located at 5470 Kings Island Drive Ste 120, Mason OH 45040-2796. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. White, Jennifer L can be contacted via phone (513) 791-4490.

Contact Information

Primary practice address
5470 Kings Island Drive Ste 120 Mason OH 45040-2796
Phone: (513) 791-4490
Fax: (513) 978-5050
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN304559 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X COA.12160-NP Ohio

Profile Details

NPI number 1871898189
LBN Legal business name White, Jennifer L
Credentials ACNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2011
Last updated Jan 30th, 2024 - 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 1871898189 NPPES
Ohio MEDICAID 3142772
Ohio MEDICAID 201042820
Ohio MEDICAID 7100185390

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