Individual provider · Type 1 NPI

Erica Anne White

Family Nurse Practitioner · Jefferson City, MO

NPI number 1053081752 Active

Practice location

1125 Madison St
Jefferson City, MO 65101-5227

Mailing address

515 Pheasant Run Rd
Jefferson City, MO 65109-4137

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XF07210129 (MO)

Family Nurse Practitioner: Definition to come...

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About NPI 1053081752

Erica Anne White's National Provider Identifier is 1053081752, issued on Sep 15, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jefferson City, MO. The record was last updated on Sep 15, 2021.