White, Stephanie
White, Stephanie is an individual health care provider with primary practice located at 303 Medical Dr Ste 405 , Lagrange GA 30240-4145. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. White, Stephanie can be contacted via phone (706) 242-5099.Contact Information
Primary practice address
303 Medical Dr Ste 405
Lagrange GA 30240-4145
Phone: (706) 242-5099
Fax: (706) 242-5231
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN149753 | Georgia |
Profile Details
| NPI number | 1801128459 |
|---|---|
| LBN Legal business name | White, Stephanie |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2010 |
| Last updated | Aug 18th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801128459 | NPPES |
| Georgia | MEDICAID | 701289521B | |
| Georgia | Other | RN149753 |
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