Healthcare Provider Details

I. General information

NPI: 1831806116
Provider Name (Legal Business Name): KACI WHITE MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/04/2022
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13285 US HIGHWAY 231
TROY AL
36081-9121
US

IV. Provider business mailing address

201 DEFENSE HWY STE 260
ANNAPOLIS MD
21401-7096
US

V. Phone/Fax

Practice location:
  • Phone: 334-288-7808
  • Fax: 334-288-8089
Mailing address:
  • Phone: 855-527-7246
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-137919
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: