White, Nicole Jacqueline

White, Nicole Jacqueline is an individual health care provider with primary practice located at 25 14Th Ave Nw , Great Falls MT 59404. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. White, Nicole Jacqueline can be contacted via phone (406) 731-8888.

Contact Information

Primary practice address
25 14Th Ave Nw Great Falls MT 59404
Phone: (406) 731-8888
Fax: (406) 731-8318
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 48237 Montana

Profile Details

NPI number 1720367840
LBN Legal business name White, Nicole Jacqueline
Credentials RN, MS, CPNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2011
Last updated Apr 8th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720367840 NPPES
Montana MEDICAID 1720367840

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