Doctor Name: | CHRISTINA WHITE |
NPI Number: | 1003222027 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | AP07902 |
Business Practice Address: | 800 Audubon Dr Jonesville, LA - 713432432 |
Business Phone Number: | 3183394112 |
Business Fax Number: | 3183396388 |
Mailing Address: | 800 Audubon Dr, JONESVILLE |
State: | LA |
Postal Code: | 713432432 |
Phone Number: | 3183394112 |
Fax Number: | 3183396388 |
NPI Enumeration Date: | 07/10/2014 |
NPI Last Update Date: | 02/01/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP07902 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |