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Jennifer Michelle White, PA

Physician Assistant in Springfield, MO. Individual provider (NPI-1).

NPI number1982103784
StatusActive
Last updated in NPPESJan 28, 2022

Details

NPI
1982103784
Entity type
Individual (NPI-1)
Name
Jennifer Michelle White
Credential
PA
Sex
Female
Sole proprietor
No
Enumeration date
Feb 7, 2018
Certification date
Jan 28, 2022
Last updated
Jan 28, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant2018006453MOYes
363AM0700X Physician Assistant, Medical––

Other names

  • Jennifer Michelle Shipley (Former Name)

Practice location

2115 S Fremont Ave Ste 2300
Springfield, MO 65804-2233

Phone 417-820-5600

Mailing address

2115 S Fremont Ave Ste 2300
Springfield, MO 65804-2233

Phone 417-820-5600

Other practice locations

1501 N Oakland Ave
Bolivar, MO 65613

Phone 417-326-7200 · Fax 417-326-7201

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