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NPI Code Detail

MEDICARE: WILLIAM WHITE APRN

MEDICARE: WILLIAM WHITE APRN
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
1163WF0300XFlight Registered Nurse171289TN
2363LF0000XFamily Nurse Practitioner30435TN

General Provider Information

NPI Number : 1902578669
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM WHITE APRN
Provider Business Mailing Address
First Line : 1445 US HIGHWAY 51 BYP E
Second Line :
City : DYERSBURG
State : TN
Zip : 38024-2127
Country : US
Telephone Number : 731-286-1900
Fax Number :
Provider Business Practice Location Address
First Line : 1445 US HIGHWAY 51 BYP E
Second Line :
City : DYERSBURG
State : TN
Zip : 38024-2127
Country : US
Telephone Number : 731-286-1900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2021
Last Update Date : 04/12/2022

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Directions to “ WILLIAM WHITE APRN” Practice Location

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