Individual provider · Type 1 NPI
Jalisa White, NNP
Critical Care Neonatal Nurse Practitioner · Edwardsville, KS
NPI number
1497486567
Active · reactivated Oct 11, 2022
Practice location
612 S 6th St
Edwardsville, KS 66111-1393
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neonatal Intensive Care Registered Nurse | 163WN0002X | 13-131827-041 (KS) |
| Critical Care Neonatal Nurse Practitioner Primary | 363LN0005X | 53-81350-041 (KS) |
Critical Care Neonatal Nurse Practitioner: Definition to come...
About NPI 1497486567
Jalisa White, NNP's National Provider Identifier is 1497486567, issued on Jun 21, 2022. The primary taxonomy on file is Critical Care Neonatal Nurse Practitioner (363LN0005X), and the practice location is in Edwardsville, KS. The record was last updated on Oct 31, 2022.