Healthcare Provider Details

I. General information

NPI: 1326370735
Provider Name (Legal Business Name): DAPHNE RICE WHITE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2010
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2945 RENWICK ST
MONROE LA
71201-8146
US

IV. Provider business mailing address

5959 S SHERWOOD FOREST BLVD
BATON ROUGE LA
70816-6038
US

V. Phone/Fax

Practice location:
  • Phone: 318-966-6625
  • Fax: 318-966-6630
Mailing address:
  • Phone: 225-526-0018
  • Fax: 225-526-9196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN094959-AP05866
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP05866
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: