Doctor Name: | JAYME N WHITE |
NPI Number: | 1043597800 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 25MP00272000 |
Business Practice Address: | 298 S Delsea Dr Vineland, NJ - 083604568 |
Business Phone Number: | 8566901616 |
Business Fax Number: | 8566901089 |
Mailing Address: | 298 S Delsea Dr, VINELAND |
State: | NJ |
Postal Code: | 083604568 |
Phone Number: | 8566901616 |
Fax Number: | 8566901089 |
NPI Enumeration Date: | 11/08/2011 |
NPI Last Update Date: | 03/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 25MP00272000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |