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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 3 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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