DR. JACKIE WHITE, MD
Family Medicine
Active
Individual
NPI: 1417964107
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | C5252 (AR) |
Frequently Asked Questions
NPI 1417964107 is the National Provider Identifier for DR. JACKIE WHITE, MD, a Family Medicine provider located in Imboden, AR. This NPI was enumerated on August 2, 2006.
DR. JACKIE WHITE, MD practices at 201 N WALNUT, Imboden, AR 72434.
Quick Facts
- NPI
- 1417964107
- Type
- Individual
- Enumerated
- Aug 2, 2006
- Last Updated
- Jul 8, 2007
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SHARA DAIL, MHPP
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DAYSPRING BEHAVIORAL HEALTH
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MRS. SISSY RATLIFF-SEAMANS, MHPP
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CARLA BROWN, RN
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