| Doctor Name: | MRS. JENNIFER LYNN WHITE |
| NPI Number: | 1104167360 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | COA.09782-NP |
| Business Practice Address: | 1 Medical Village Dr St Elizabeth Healthcare Edgewood, KY - 410173403 |
| Business Phone Number: | 8593014688 |
| Business Fax Number: | 8593014601 |
| Mailing Address: | Po Box 636324, St Elizabeth Healthcare CINCINNATI |
| State: | OH |
| Postal Code: | 452636324 |
| Phone Number: | 8593445555 |
| Fax Number: | 8593445552 |
| NPI Enumeration Date: | 03/12/2013 |
| NPI Last Update Date: | 09/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | COA.09782-NP |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |