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NPI Code Detail

MEDICARE: MRS. KENTORIA I'SHARRELL ROBERSON-WHITE NP

MEDICARE:  MRS. KENTORIA I'SHARRELL ROBERSON-WHITE  NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner95015883CA

General Provider Information

NPI Number : 1275142440
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KENTORIA I'SHARRELL ROBERSON-WHITE NP
Provider Business Mailing Address
First Line : 1708 CARRIAGE CREEK DR
Second Line :
City : DESOTO
State : TX
Zip : 75115-3676
Country : US
Telephone Number : 469-396-3326
Fax Number :
Provider Business Practice Location Address
First Line : 1801 N HAMPTON RD STE 425
Second Line :
City : DESOTO
State : TX
Zip : 75115-2399
Country : US
Telephone Number : 469-396-3326
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2020
Last Update Date : 12/16/2025

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Directions to “ MRS. KENTORIA I'SHARRELL ROBERSON-WHITE NP” Practice Location

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