White, Jill Marie
White, Jill Marie is an individual health care provider with primary practice located at 913 W Canfield Ave , Coeur D Alene ID 83815-9764. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Psychiatric/Mental Health, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. White, Jill Marie can be contacted via phone (208) 819-7103.Contact Information
Primary practice address
913 W Canfield Ave
Coeur D Alene ID 83815-9764
Phone: (208) 819-7103
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP60533440 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 23667 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | NP-1397A | Idaho |
| Nursing Service Providers / Psychiatric/Mental Health | 163WP0808X | 806071 | California |
| Nursing Service Providers / Registered Nurse | 163W00000X | N-29302 | Idaho |
Profile Details
| NPI number | 1073837472 |
|---|---|
| LBN Legal business name | White, Jill Marie |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2010 |
| Last updated | Jun 29th, 2022 - about 4 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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