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NPI Code Detail

MEDICARE: PATRICE WHITE PMHNP

MEDICARE: PATRICE WHITE PMHNP
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner5015830NC
2363L00000XNurse Practitioner5015830NC

General Provider Information

NPI Number : 1386390920
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICE WHITE PMHNP
Provider Business Mailing Address
First Line : 700 WALTER REED DR
Second Line :
City : GREENSBORO
State : NC
Zip : 27403-1128
Country : US
Telephone Number : 336-965-0623
Fax Number :
Provider Business Practice Location Address
First Line : 700 WALTER REED DR
Second Line :
City : GREENSBORO
State : NC
Zip : 27403-1128
Country : US
Telephone Number : 336-832-9600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2022
Last Update Date : 01/15/2026

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