Jerry Wade White in Fort Campbell - Developmental - Behavioral Pediatrics
Jerry Wade White - NPI 1992775209
Jerry Wade White is a Developmental - Behavioral Pediatrics in Fort Campbell, Kentucky. Jerry Wade White practices all healthcare services and medical treatments related to Developmental - Behavioral Pediatrics. The NPI Number for Jerry Wade White is 1992775209. The last update date is 2019-07-02.
Jerry Wade White's current location address is 650 Joel Dr, Fort Campbell, Kentucky. You can contact this provider via phone number 2707984677 and fax number 2709560444. The mailing address for Jerry Wade White is 650 Joel Dr, Fort Campbell, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Wade White |
|---|---|
| Address | 650 Joel Dr, Fort Campbell, Kentucky |
| Phone Number | 2707984677 |
| Fax Number | 2709560444 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1992775209 |
|---|---|
| Provider Enumeration Date | 2006-01-26 |
| Last Updated Date | 2019-07-02 |
Provider Mailing Address Detail
| Address | 650 Joel Dr |
|---|---|
| City | Fort Campbell |
| State | Kentucky (KY) |
| Post Code | 422235318 |
| Phone Number | 2707984677 |
| Fax Number | 2709560444 |
Provider's Primary Taxonomy Detail
| Speciality | Developmental - Behavioral Pediatrics |
|---|---|
| Taxonomy | 2080P0006X |
| Licence No | C52893 |
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Definition: A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy effort |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Jerry Wade White?
The Jerry Wade White has been issued the NPI (National Provider Identifier) 1992775209 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jerry Wade White's facilities are situated?
The facilities of Jerry Wade White are physically located at the following address: 650 Joel Dr, Fort Campbell, KY, 422235318.
What is Jerry Wade White's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jerry Wade White is Developmental - Behavioral Pediatrics, and the taxonomy code that categorizes this field of expertise is 2080P0006X.
On what date did Jerry Wade White receive its 1992775209 assignment from the Centers for Medicare & Medicaid Services?
The Jerry Wade White was assigned its 1992775209 on 2006-01-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Jerry Wade White, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jerry Wade White, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-07-02.