MEDICARE: VERNETTA 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
1	164W00000X	Licensed Practical Nurse	LPN.182841.MEDS-IV	OH

General Provider Information

NPI Number	:	1538022405
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VERNETTA WHITE

Provider Business Mailing Address
First Line	:	PO BOX 608633
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44108-0633
Country	:	US
Telephone Number	:	216-972-0617
Fax Number	:

Provider Business Practice Location Address
First Line	:	2245 E 87TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44106-3434
Country	:	US
Telephone Number	:	216-972-0617
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/06/2025
Last Update Date	:	12/06/2025

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Directions to “ VERNETTA WHITE ” Practice Location

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