Healthcare Provider Details

I. General information

NPI: 1154656064
Provider Name (Legal Business Name): BARBARA DEAN WHITE-JONES FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BARBARA DEAN WHITE FNP

II. Dates (important events)

Enumeration Date: 10/09/2009
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1711 W TEMPLE ST FL 2
LOS ANGELES CA
90026-7329
US

IV. Provider business mailing address

2661 E FLORENCE AVE STE B
HUNTINGTON PARK CA
90255-4793
US

V. Phone/Fax

Practice location:
  • Phone: 818-943-7548
  • Fax: 424-381-0498
Mailing address:
  • Phone: 818-943-7548
  • Fax: 510-225-2314

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number19074
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: