White, Kim Maria

White, Kim Maria is an sole proprietor health care provider with primary practice located at 529 Forest Ave , Jackson MS 39206-3303. She recently has 15 registered licenses in different health care specialties including Nursing Service Providers / Addiction (Substance Use Disorder), Nursing Service Providers / Administrator, Nursing Service Providers / Community Health, Nursing Service Providers / Continuing Education/Staff Development, Nursing Service Providers / General Practice, Nursing Service Providers / Gerontology, Nursing Service Providers / Home Health, Nursing Service Providers / Hospice, Nursing Service Providers / Infusion Therapy, Nursing Service Providers / Medical-Surgical, Nursing Service Providers / Psychiatric/Mental Health, Nursing Service Providers / Psychiatric/Mental Health, Adult, Nursing Service Providers / School, Nursing Service Providers / Oncology, Nursing Service Providers / Case Management. Nursing Service Providers / Case Management is her primary health care specialty. White, Kim Maria can be contacted via phone (559) 331-8603.

Contact Information

Primary practice address
529 Forest Ave Jackson MS 39206-3303
Phone: (559) 331-8603
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X 884964 Mississippi
Nursing Service Providers / Administrator 163WA2000X 884964 Mississippi
Nursing Service Providers / Community Health 163WC1500X 884964 Mississippi
Nursing Service Providers / Continuing Education/Staff Development 163WC1600X 884964 Mississippi
Nursing Service Providers / General Practice 163WG0000X MS Mississippi
Nursing Service Providers / Gerontology 163WG0600X 884964 Mississippi
Nursing Service Providers / Home Health 163WH0200X 884964 Mississippi
Nursing Service Providers / Hospice 163WH1000X 884964 Mississippi
Nursing Service Providers / Infusion Therapy 163WI0500X 884964 Mississippi
Nursing Service Providers / Medical-Surgical 163WM0705X 884964 Mississippi
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 884964 Mississippi
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 884964 Mississippi
Nursing Service Providers / School 163WS0200X 884964 Mississippi
Nursing Service Providers / Oncology 163WX0200X 884964 Mississippi
Nursing Service Providers / Case Management 163WC0400X 884964 Mississippi

Profile Details

NPI number 1710505292
LBN Legal business name White, Kim Maria
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2020
Last updated Jul 10th, 2020 - 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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