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NPI Code Detail

MEDICARE: JESSICA L WHITE

MEDICARE: JESSICA L WHITE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WC0400XCase Management Registered NurseR089882AR

General Provider Information

NPI Number : 1073445854
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA L WHITE
Provider Business Mailing Address
First Line : 1090 ARNOLD DR
Second Line :
City : LITTLE ROCK AIR FORCE BASE
State : AR
Zip : 72099-4933
Country : US
Telephone Number : 501-987-2062
Fax Number :
Provider Business Practice Location Address
First Line : 1090 ARNOLD DR
Second Line :
City : LITTLE ROCK AIR FORCE BASE
State : AR
Zip : 72099-4933
Country : US
Telephone Number : 501-987-2062
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2026
Last Update Date : 06/03/2026

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Directions to “ JESSICA L WHITE ” Practice Location

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