White, Rebecca L
White, Rebecca L is an individual health care provider with primary practice located at 690 S Hwy 89 Ste 201 , Jackson WY 83001-8508. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. White, Rebecca L can be contacted via phone (307) 690-4521.Contact Information
Primary practice address
690 S Hwy 89 Ste 201
Jackson WY 83001-8508
Phone: (307) 690-4521
Fax: (949) 695-2562
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | NP-629A | Idaho |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 100917 | Montana |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 19355.0277 | Wyoming |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | NP-100917 | Montana |
Profile Details
NPI number | 1902903321 |
---|---|
LBN Legal business name | White, Rebecca L |
Credentials | PMHNP, FNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 20th, 2006 |
Last updated | Feb 29th, 2024 - about 7 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1902903321 | NPPES |
Wyoming | MEDICAID | 123446300 | |
Wyoming | MEDICAID | 807242401 |
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