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NPI Code Detail

MEDICARE: JOSHUA PHILLIP WHITE FNP-C

MEDICARE: JOSHUA PHILLIP WHITE FNP-C
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 Practitioner203429LA

General Provider Information

NPI Number : 1790249225
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA PHILLIP WHITE FNP-C
Provider Business Mailing Address
First Line : 8383 MILLICENT WAY
Second Line :
City : SHREVEPORT
State : LA
Zip : 71115-5207
Country : US
Telephone Number : 318-797-6661
Fax Number : 318-795-8513
Provider Business Practice Location Address
First Line : 653 W 70TH ST
Second Line :
City : SHREVEPORT
State : LA
Zip : 71106-2949
Country : US
Telephone Number : 318-636-8389
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2019
Last Update Date : 03/17/2026

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Directions to “ JOSHUA PHILLIP WHITE FNP-C” Practice Location

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