MEDICARE: DR. ROBERT WHITE DNP, APN

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
1	363LF0000X	Family Nurse Practitioner	26NN11834600	NJ
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	26NN11834600	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740372606
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT WHITE DNP, APN

Provider Business Mailing Address
First Line	:	4 BLUE HERON DR
Second Line	:
City	:	JACKSON
State	:	NJ
Zip	:	08527-4077
Country	:	US
Telephone Number	:	908-208-0007
Fax Number	:	866-553-5184

Provider Business Practice Location Address
First Line	:	4695 HWY 9 STE 3
Second Line	:
City	:	HOWELL
State	:	NJ
Zip	:	07731-3384
Country	:	US
Telephone Number	:	732-759-8700
Fax Number	:	833-606-0124

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2006
Last Update Date	:	11/09/2024

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