Jessica L. White, NP
Nurse Practitioner, Family in Providence, RI. Individual provider (NPI-1).
NPI number1164078796
StatusActive
Last updated in NPPESAug 25, 2025
Details
- NPI
- 1164078796
- Entity type
- Individual (NPI-1)
- Name
- Jessica L. White
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 9, 2019
- Certification date
- Aug 25, 2025
- Last updated
- Aug 25, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | APRN04700 | RI | Yes |
| 363LF0000X | Nurse Practitioner, Family | 101.0134388 | VT | |
| 363LF0000X | Nurse Practitioner, Family | 1215233 | WI |
Practice location
1 Warren WayProvidence, RI 02905-5000
Phone 401-444-0530 · Fax 401-444-0423
Mailing address
375 Allens AveProvidence, RI 02905-5010
Phone 401-444-0400
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