JENNIFER L WHITE PA-C
NPI 1215209747
Physician Assistant - Medical in Greeley, CO
Active since January 30, 2012
About Jennifer L White Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER L WHITE PA-C (NPI 1215209747) is an individual medical provider in Greeley, Colorado, licensed in Colorado (3308) and active in the NPI registry since January 2012.
NPPES Registry Identity
NPI1215209747
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJENNIFER L WHITECredential: PA-C
Location Address1175 58TH AVE, STE 200Greeley, CO 80634-4807
Mailing Address1175 58th Ave, Ste 202Greeley, CO 80634-4807 · (970) 495-0300 · Fax (970) 224-9624
Phone(970) 495-0444
Fax(970) 488-3106
Sole ProprietorNo
Enumeration DateJanuary 30, 2012
✔ NPI 1215209747 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CO · 3308
1175 58TH AVE, Greeley, CO 80634
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Radiology (Diagnostic Radiology)
1175 58TH AVE, STE 202
GREELEY, CO 80634
GREELEY, CO 80634
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215209747, enumerated as an "individual" on January 30, 2012.
The provider is located at 1175 58TH AVE STE 200 GREELEY, CO 80634 and the phone number is (970) 495-0444.
Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.
