Doctor Name: | VALERIE MICHELE WHITE |
NPI Number: | 1053666503 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | R878449 |
Business Practice Address: | 225 Community Dr. Fayette, MS - 39069 |
Business Phone Number: | 6017867693 |
Business Fax Number: | |
Mailing Address: | 1601 Eastwood Rd, NATCHEZ |
State: | MS |
Postal Code: | 391205023 |
Phone Number: | 6016600114 |
Fax Number: | |
NPI Enumeration Date: | 07/20/2012 |
NPI Last Update Date: | 07/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R878449 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |