White, Ottysha A

White, Ottysha A is an individual health care provider with primary practice located at 416 E Washington Ave , Jonesboro AR 72401-3108. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. White, Ottysha A can be contacted via phone (870) 333-5476.

Contact Information

Primary practice address
416 E Washington Ave Jonesboro AR 72401-3108
Phone: (870) 333-5476
Fax: (870) 333-5475
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A004401 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X A004401 Arkansas

Profile Details

NPI number 1255584637
LBN Legal business name White, Ottysha A
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2008
Last updated Feb 16th, 2024 - about 10 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255584637 NPPES
Arkansas MEDICAID 208360758

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