Healthcare Provider Details

I. General information

NPI: 1053666503
Provider Name (Legal Business Name): VALERIE MICHELE WHITE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2012
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 BUSINESS LN
YAKIMA WA
98901-1167
US

IV. Provider business mailing address

1601 EASTWOOD RD
NATCHEZ MS
39120-5023
US

V. Phone/Fax

Practice location:
  • Phone: 509-853-2400
  • Fax:
Mailing address:
  • Phone: 601-660-0114
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP61542437
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR878449
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: