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MRS. AMY MICHELLE WHITE N.P.
>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1386157592
Individual Registrant:MRS. AMY MICHELLE WHITE N.P.
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
110 N DREW ST STAR CITY, AR 71667-5704 US
Tel: 870-628-5110 Fax: 855-854-6281
Tel: 870-628-5110 Fax: 855-854-6281
Contact information for business:
PO BOX 509 DERMOTT, AR 71638-0509 US
Tel: 870-538-5414 Fax: 870-538-5412
Tel: 870-538-5414 Fax: 870-538-5412
Registration Information:
NPI: 1386157592
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | AR | A005465 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
