WHITES FAMILY CLINIC LLC NPI 1548816044

NPI Information

NPI: 1548816044
Provider Name: WHITES FAMILY CLINIC LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 04D2172038

Address:
418 N 2ND ST
ASHDOWN, AR
ZIP 71822
Phone: (870) 898-0002
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WHITES FAMILY CLINIC LLC is a family nurse practitioner in Ashdown, AR. WHITES FAMILY CLINIC LLC NPI is 1548816044. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

418 N 2ND ST
ASHDOWN, AR
ZIP 71822-755
Phone: (870) 898-0002

The provider's authorized official is Cortney Lindsey White .
The authorized official title is Advanced Practice Registered Nurse and has the following contact phone number (870) 898-0002.

The CLIA number assigned to this NPI record is 04D2172038 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/12/2019 and was last updated on 7/9/2020.

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	363LF0000X	Nurse Practitioner	Family			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	210797758	MEDICAID	ARKANSAS

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

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