White, Rebecca L

White, Rebecca L is an individual health care provider with primary practice located at 690 S Hwy 89 Ste 201 , Jackson WY 83001-8508. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. White, Rebecca L can be contacted via phone (307) 690-4521.

Contact Information

Primary practice address
690 S Hwy 89 Ste 201 Jackson WY 83001-8508
Phone: (307) 690-4521
Fax: (949) 695-2562
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP-629A Idaho
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 100917 Montana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 19355.0277 Wyoming
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X NP-100917 Montana

Profile Details

NPI number 1902903321
LBN Legal business name White, Rebecca L
Credentials PMHNP, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Feb 29th, 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 1902903321 NPPES
Wyoming MEDICAID 123446300
Wyoming MEDICAID 807242401

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