Individual provider · Type 1 NPI

Da'kira Kanisha White, NP

Family Nurse Practitioner · Peoria, IL

NPI number 1710629571 Active

Practice location

5209 W War Memorial Dr
Peoria, IL 61615-9250

Call (309) 308-5100 Map

Mailing address

3812 W Vinton Ave
Peoria, IL 61615-2972

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X041429896 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1710629571

Da'kira Kanisha White, NP's National Provider Identifier is 1710629571, issued on Apr 12, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Peoria, IL. The record was last updated on Apr 12, 2022.