Individual provider · Type 1 NPI

Mary Blackwelder White, FNP

Nurse Practitioner · Charlotte, NC

NPI number 1205851722 Active

Practice location

1350 S Kings Dr
Charlotte, NC 28207-2134

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice locations

  • 1001 Blythe Blvd, Medical Center Plaza, Suite 200, Charlotte, NC 28203-5866 · (704) 381-8840

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner 363LP0200X300259 (NC)
Nurse Practitioner Primary 363L00000X300259 (NC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1205851722

Mary Blackwelder White, FNP's National Provider Identifier is 1205851722, issued on Jul 13, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Charlotte, NC. The record was last updated on Jul 15, 2024.