Patricia White in Clarksdale - Family

Patricia White - NPI 1659370229

Patricia White is a Family in Clarksdale, Mississippi. Patricia White practices all healthcare services and medical treatments related to Family. The NPI Number for Patricia White is 1659370229. The last update date is 2014-12-31.

Patricia White's current location address is 2245 North State Street, Clarksdale, Mississippi. You can contact this provider via phone number 6626274131. The mailing address for Patricia White is 2245 North State Street, Clarksdale, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Patricia White
Address 2245 North State Street, Clarksdale, Mississippi
Phone Number 6626274131
Fax Number
Sole Proprietor N
Credentials FNP

NPI Number Detail

NPI Number 1659370229
Provider Enumeration Date 2005-07-18
Last Updated Date 2014-12-31

Provider Mailing Address Detail

Address 2245 North State Street
City Clarksdale
State Mississippi (MS)
Post Code 3861472020
Phone Number 6626274131
Fax Number

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No R125850
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
111534 MS --

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FAQs about Patricia White

What is the unique 10-digit identifier code assigned to Patricia White by the Centers for Medicare & Medicaid Services?

The Patricia White has been issued the NPI (National Provider Identifier) 1659370229 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Patricia White is physically located?

The Patricia White is physically situated at the following address: 2245 North State Street, Clarksdale, MS, 3861472020.

What is Patricia White's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Patricia White is Family, and the taxonomy code that categorizes this field of expertise is 363Lf0000X.

On what date did the Patricia White receive its 1659370229 assignment from the Centers for Medicare & Medicaid Services?

The Patricia White was assigned its 1659370229 by the Centers for Medicare & Medicaid Services on 2005-07-18.

When was the information related to Patricia White most recently updated or refreshed?

The details pertaining to the Patricia White, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-12-31.

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