DEANDRA LASHAY WHITE APRNC NPI 1174116446

NPI Information

  • NPI: 1174116446
  • Provider Name: DEANDRA LASHAY WHITE, APRNC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 794 MCDONOUGH RD STE 108
    JACKSON, GA
    ZIP 30233
  • Phone: (470) 251-5300

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NPI Details

Deandra Lashay White, APRNC is a family nurse practitioner in Jackson, GA. Deandra Lashay White, APRNC NPI is 1174116446. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

794 MCDONOUGH RD STE 108
JACKSON, GA
ZIP 30233-572
Phone: (470) 251-5300

The NPI 1174116446 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/17/2021 and was last updated on 10/9/2025.

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
1363LF0000XNurse PractitionerFamilyAPRN-NP334550GEORGIAYes
2363LF0000XNurse PractitionerFamilyNP001196GEORGIANo
3363L00000XNurse PractitionerAPRN-11010982FLORIDANo

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
1APRN-11010982OTHERFLORIDAFLORIDA LICENSE

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: 11/21/2025

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