KIM MARIA WHITE RN
NPI 1710505292
Registered Nurse - Case Management in Jackson, MS

Q: What is Kim White's NPI number?

The NPI number for Kim White is 1710505292. It was assigned to this individual provider in the NPPES registry on July 10, 2020. The provider is also known as Kim Maria Braddy Rn.

Q: What is Kim White's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Case Management, with taxonomy code 163WC0400X.

Q: When was this NPI record last updated?

The NPPES record for Kim White was last updated on July 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 10, 2020

529 FOREST AVE, JACKSON, MS 39206(559) 331-8603 Get Directions Write a Review

NPPES record last updated: July 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kim Maria White Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIM MARIA WHITE RN (NPI 1710505292) is an individual case management provider in Jackson, Mississippi, licensed in Mississippi (884964) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1710505292

Entity TypeIndividualFemale

Primary Taxonomy163WC0400X

Provider Legal NameKIM MARIA WHITECredential: RN

Location Address529 FOREST AVEJackson, MS 39206-3303

Mailing Address529 Forest AveJackson, MS 39206-3303 · (559) 331-8603

Phone(559) 331-8603

Sole ProprietorYes

Enumeration DateJuly 10, 2020

NPPES CertifiedJuly 10, 2020

✔ NPI 1710505292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyRegistered Nurse · Case ManagementNursing Service Providers

Taxonomy Code163WC0400X

License✔ Licensed in MS · 884964

Also ListedRegistered Nurse · Addiction (Substance Use Disorder)Taxonomy 163WA0400X · License 884964 (MS)

Also ListedRegistered Nurse · AdministratorTaxonomy 163WA2000X · License 884964 (MS)

Also ListedRegistered Nurse · Community HealthTaxonomy 163WC1500X · License 884964 (MS)

Also ListedRegistered Nurse · Continuing Education/Staff DevelopmentTaxonomy 163WC1600X · License 884964 (MS)

Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License MS (MS)

Also ListedRegistered Nurse · GerontologyTaxonomy 163WG0600X · License 884964 (MS)

Also ListedRegistered Nurse · Home HealthTaxonomy 163WH0200X · License 884964 (MS)

Also ListedRegistered Nurse · HospiceTaxonomy 163WH1000X · License 884964 (MS)

Also ListedRegistered Nurse · Infusion TherapyTaxonomy 163WI0500X · License 884964 (MS)

Also ListedRegistered Nurse · Medical-SurgicalTaxonomy 163WM0705X · License 884964 (MS)

Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 884964 (MS)

Also ListedRegistered Nurse · Psychiatric/Mental Health, AdultTaxonomy 163WP0809X · License 884964 (MS)

Also ListedRegistered Nurse · SchoolTaxonomy 163WS0200X · License 884964 (MS)

Also ListedRegistered Nurse · OncologyTaxonomy 163WX0200X · License 884964 (MS)

529 FOREST AVE, Jackson, MS 39206

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Other Names 1

Former Name (1)Kim Maria Braddy Rn

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kim White's NPI number?

The NPI number for Kim White is 1710505292. It was assigned to this individual provider in the NPPES registry on July 10, 2020. The provider is also known as Kim Maria Braddy Rn.

Where is Kim White located?

Kim White practices at 529 Forest Ave, Jackson, MS 39206. The listed phone number is (559) 331-8603.

What is Kim White's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Case Management, with taxonomy code 163WC0400X.

When was this NPI record last updated?

The NPPES record for Kim White was last updated on July 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.