Individual provider · Type 1 NPI

Jerry Wade White, MD

Developmental - Behavioral Pediatrics Physician · Fort Campbell, KY

NPI number 1992775209 Active

Practice location

650 Joel Dr
Fort Campbell, KY 42223-5318

Call (270) 798-4677 Map

Fax (270) 956-0444

Specialties and licenses

TaxonomyCodeLicense
Developmental - Behavioral Pediatrics Physician 2080P0006XMD.018896 (LA)
Developmental - Behavioral Pediatrics Physician Primary 2080P0006XC52893 (CA)

Developmental - Behavioral Pediatrics Physician: A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions…

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About NPI 1992775209

Jerry Wade White, MD's National Provider Identifier is 1992775209, issued on Jan 26, 2006. The primary taxonomy on file is Developmental - Behavioral Pediatrics Physician (2080P0006X), and the practice location is in Fort Campbell, KY. The record was last updated on Jan 16, 2025.