PATRICIA WHITE (NPI# 1659370229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659370229 |
| Entity Type | Individual |
| Full Name | PATRICIA WHITE |
| Credential | FNP |
| Practice Address |
2245 North State Street Clarksdale MS 38614-7202 |
| Mailing Address |
510 Highway 322 P O Box 1216 Clarksdale MS 38614-4717 |
| Practice Telephone | 6626274131 |
| Mailing Telephone | 6626244292 |
| Mailing Fax Number | 6626244354 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2014-12-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R125850 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00111534 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205307584 | Patricia Malik White | Social Worker | 1400 Blackhorse Hill Rd # 116d58b, Coatesville, PA 19320-2040 | 2018-12-11 |
| 1780170365 | Patricia White | Counselor | 800 N Main St # 6, Malta, OH 43758-9019 | 2018-07-06 |
| 1730684622 | Patricia White | Occupational Therapist | 29 Durant Ave, Maynard, MA 01754-1034 | 2018-03-24 |
| 1851813737 | Patricia Lopez White | Marriage & Family Therapist | 421 Bernard St Apt 416, Costa Mesa, CA 92627-5788 | 2017-07-12 |
| 1821417510 | Patricia White | Registered Nurse | 805 E Frederick St, Gaffney, SC 29340-3845 | 2014-04-10 |
| 1720354947 | Patricia White | Social Worker | 22011 Beverly St, Oak Park, MI 48237-2504 | 2012-04-02 |
| 1942515861 | Patricia Jean White | Speech-Language Pathologist | 900 Roosevelt Ste 100, Irvine, CA 92620-3664 | 2010-08-16 |
| 1710206271 | Patricia Anne White | Internal Medicine | 38 Young's Rd, Basking Ridge, NJ 07920 | 2010-05-24 |
| 1891020038 | Patricia Naomi White | Nutritionist | 2814 Woodway Place, Cheverly, MD 20785-3170 | 2009-10-06 |
| 1366586786 | Patricia Ann White | Marriage & Family Therapist | 272 Wainee Street Suite 107, Lahaina, HI 96761-3571 | 2007-02-18 |
| Street Address |
2245 NORTH STATE STREET |
| City | CLARKSDALE |
| State | MS |
| Zip Code | 38614-7202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386265627 | Lillie Mae Lockett | Technician | 1025 Ritchie Ave, Clarksdale, MS 38614 | 2020-04-28 |
| 1063957751 | Autospa-healthy Youth Center | Nurse Practitioner | 1202 Desoto Ave, Suite A, Clarksdale, MS 38614 | 2017-01-04 |
| 1700226123 | Nikki Nikkia Cager | Internal Medicine | 785 Ohio Ave Ste 2d, Clarksdale, MS 38614 | 2013-06-29 |
| 1205186947 | Celestial Comfort Care Hospice | Hospice Care, Community Based | 110 Yazoo Ave. Suite 212, Clarksdale, MS 38614 | 2012-09-10 |
| 1063667129 | The Smile Center of Clarksdale | Clinic/Center | 526 Choctaw Street, Suites B & C, Clarksdale, MS 38614 | 2008-11-17 |
| 1801060033 | Clarksdale Municipal School District | Local Education Agency (LEA) | Gycelle Tynes Educational Center, Friars Point Road, Clarksdale, MS 38614 | 2008-04-18 |
| 1184806150 | Mary A Williams | Nurse Practitioner | 125 Highway 322, Clarksdale, MS 38614 | 2007-12-03 |
| 1114040367 | William F Wilson Jr. | Dentist | 850 Desoto Ave, Extended, Clarksdale, MS 38614 | 2007-04-10 |
| 1952434920 | Kathleen Tinnel | Nurse Practitioner | 2245 N State St, Clarksdale, MS 38614 | 2007-03-13 |
| 1497888457 | Carole L Mangrem | Pediatrics | 2245 N Starte St, Clarksdale, MS 38614 | 2007-03-13 |
| Find all providers in zip 38614 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063957751 | Autospa-healthy Youth Center | Nurse Practitioner | 1202 Desoto Ave, Suite A, Clarksdale, MS 38614 | 2017-01-04 |
| 1184806150 | Mary A Williams | Nurse Practitioner | 125 Highway 322, Clarksdale, MS 38614 | 2007-12-03 |
| 1376752832 | Dallas Maxwell Earnest | Nurse Practitioner | 1015 Lee Dr Ste 13, Clarksdale, MS 38614-3619 | 2007-05-22 |
| 1831132562 | Advanced Medical Rehabilitation, LLC | Nurse Practitioner | 1051 Lee Dr, Suite 1b, Clarksdale, MS 38614-3615 | 2006-06-13 |
| 1447251632 | Pamela Wilson | Nurse Practitioner | 860 Desoto Ext, Clarksdale, MS 38614 | 2005-08-10 |
| 1366042277 | Sylvester Lewis Thornton | Nurse Practitioner | 1970 Hospital Dr, Clarksdale, MS 38614-7202 | 2020-10-29 |
| 1225642473 | Tammy Sherrell Campbell | Nurse Practitioner | 619 S State St, Clarksdale, MS 38614-6319 | 2020-09-04 |
| 1841817707 | Kristalin Young Presley | Nurse Practitioner | 125 Highway 322, Clarksdale, MS 38614-4620 | 2020-06-26 |
| 1407487069 | Leah Lamb Rybolt | Nurse Practitioner | 1970 Hospital Dr, Clarksdale, MS 38614-7202 | 2020-01-31 |
| 1780157727 | Megan Green Carpenter | Nurse Practitioner | 551 Medical Dr, Clarksdale, MS 38614-6733 | 2019-01-02 |
| Find all providers in CLARKSDALE | ||||
| City | CLARKSDALE |
| Zip Code | 38614 |
Please comment or provide details below to improve the information on PATRICIA WHITE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.