Ms Jenniese White, LMT is a
Massage Therapist based in Port Costa, California. Ms Jenniese White is licensed to practice in California (license number 22654) and her current practice location is
11 Canyon Lake Dr, Port Costa, California. She can be reached at her office (for appointments etc.) via phone at
(415) 279-3410.
NPI number for Ms Jenniese White is 1538889118 and her current mailing address is Po Box 123, Port Costa, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1538889118.
Healthcare Provider's Profile
| Full Name | Ms Jenniese White |
|---|
| Gender | Female |
|---|
| Speciality | Massage Therapist |
|---|
| Location | 11 Canyon Lake Dr, Port Costa, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1538889118
- Provider Enumeration Date: 09/01/2022
- Last Update Date: 09/01/2022
Medical Identifiers
Medical identifiers for Ms Jenniese White such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538889118 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | 22654 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Jenniese White is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Jenniese White, LMT
Po Box 123,
Port Costa, CA 94569-0123
Ph: () - | Ms Jenniese White, LMT
11 Canyon Lake Dr,
Port Costa, CA 94569-1003
Ph: (415) 279-3410 |
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