Healthcare Provider Details

I. General information

NPI: 1821456765
Provider Name (Legal Business Name): JULI DAVETTE WHITE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULI DAVETTE CROUCH FNP

II. Dates (important events)

Enumeration Date: 02/07/2016
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8543 FENTON TOWER DR
INDIANAPOLIS IN
46259-7669
US

IV. Provider business mailing address

8543 FENTON TOWER DR
INDIANAPOLIS IN
46259-7669
US

V. Phone/Fax

Practice location:
  • Phone: 317-709-2837
  • Fax:
Mailing address:
  • Phone: 317-709-2837
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number710064090A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: