| Doctor Name: | MELISSA ANNE WHITE |
| NPI Number: | 1053649657 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ANP-BC |
| License Number: | ARNP9229224 |
| Business Practice Address: | 2060 Dan Proctor Dr Suite 3100 Saint Marys, GA - 315583894 |
| Business Phone Number: | 9128823737 |
| Business Fax Number: | 9043764107 |
| Mailing Address: | Po Box 44004, JACKSONVILLE |
| State: | FL |
| Postal Code: | 322314004 |
| Phone Number: | 9042021032 |
| Fax Number: | 9043764107 |
| NPI Enumeration Date: | 11/20/2009 |
| NPI Last Update Date: | 03/16/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | ARNP9229224 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |