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JESSICA LUELLA WHITE
NPI 1780073486
Student in an Organized Health Care Education/Training Program in Berkley, MI

Active since January 18, 2015
2351 12 MILE RD, BERKLEY, MI 48072(248) 544-4004 Get Directions Write a Review

NPPES record last updated: January 18, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Luella White NPPES

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

JESSICA LUELLA WHITE (NPI 1780073486) is an individual student in an organized health care education/training program in Berkley, Michigan and active in the NPI registry since January 2015.

NPPES Registry Identity

NPI1780073486
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJESSICA LUELLA WHITE
Location Address2351 12 MILE RDBerkley, MI 48072-1826
Mailing Address1215 Briarwood CtWixom, MI 48393-4507
Phone(248) 544-4004
Sole ProprietorNo
Enumeration DateJanuary 18, 2015
✔ NPI 1780073486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2351 12 MILE RD, Berkley, MI 48072
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Other Names 1

Former Name (1)Jessica Luella Kallgren

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS ALISON FADOIR LMSW
Social Worker
2351 12 MILE RD
BERKLEY, MI 48072
Oakland County (248) 544-4004
LINDSAY MARIE NATZEL LMSW
Social Worker (Clinical)
2351 12 MILE RD
BERKLEY, MI 48072
Oakland County (248) 544-4004
BRIANA BAY RAMIREZ ESQUIVEL
Social Worker (Clinical)
2351 12 MILE RD
BERKLEY, MI 48072
Oakland County (248) 858-7766
MS. NANCY LYNN WUCETICH LMSW, ACSW
Social Worker (Clinical)
2351 12 MILE RD
BERKLEY, MI 48072
Oakland County (248) 544-4006
SARAH HEKMATI LLMSW
Social Worker (Clinical)
2351 12 MILE RD
BERKLEY, MI 48072
Oakland County (248) 544-4006

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 Jessica White's NPI number?

The NPI number for Jessica White is 1780073486. It was assigned to this individual provider in the NPPES registry on January 18, 2015. The provider is also known as Jessica Luella Kallgren.

Where is Jessica White located?

Jessica White practices at 2351 12 Mile Rd, Berkley, MI 48072. The listed phone number is (248) 544-4004.

What is Jessica White's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jessica White was last updated on January 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.