MAKEBA SIMONE WHITE FNP-BC NPI 1255161741

NPI Information

  • NPI: 1255161741
  • Provider Name: MAKEBA SIMONE WHITE, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 47610 GRAND RIVER AVE # 1211
    NOVI, MI
    ZIP 48374
  • Phone: (313) 633-5604

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NPI Details

Makeba Simone White, FNP-BC is a family nurse practitioner in Novi, MI with 2 years of experience. Makeba Simone White, FNP-BC NPI is 1255161741. 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:

47610 GRAND RIVER AVE # 1211
NOVI, MI
ZIP 48374-217
Phone: (313) 633-5604

The NPI 1255161741 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 8/7/2024 and was last updated on 8/7/2024.

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 PractitionerFamily4704309839MICHIGANYes

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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