TYRELL WHITE NPI 1699441006

NPI Information

NPI: 1699441006
Provider Name: TYRELL WHITE
Classification: Driver - 172A00000X
Entity Type: Individual
Address:
8869 CENTRE ST STE B2
SOUTHAVEN, MS
ZIP 38671
Phone: (573) 481-5473
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Tyrell White is a driver in Southaven, MS. The provider is a person employed to operate a motor vehicle as a carrier of persons or property. Tyrell White NPI is 1699441006. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8869 CENTRE ST STE B2
SOUTHAVEN, MS
ZIP 38671-725
Phone: (573) 481-5473
Fax: (662) 470-4530

The enumeration date for this NPI number is 8/17/2021 and was last updated on 8/17/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	172A00000X	Driver				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	85-3551579	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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