JALISA WHITE NNP NPI 1497486567

NPI Information

  • NPI: 1497486567
  • Provider Name: JALISA WHITE, NNP
  • Classification: Nurse Practitioner - 363LN0005X
  • Specialization: Neonatal, Critical Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 612 S 6TH ST
    EDWARDSVILLE, KS
    ZIP 66111
  • Phone: (913) 309-9281

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NPI Details

Jalisa White, NNP is a neonatal and critical care nurse practitioner in Edwardsville, KS. Jalisa White, NNP NPI is 1497486567. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

612 S 6TH ST
EDWARDSVILLE, KS
ZIP 66111-393
Phone: (913) 309-9281

The NPI 1497486567 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 6/21/2022 and was last updated on 10/31/2022.

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
1163WN0002XRegistered NurseNeonatal Intensive Care13-131827-041KANSASNo
2363LN0005XNurse PractitionerNeonatal, Critical Care53-81350-041KANSASYes

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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