| Carol White, NP | |
|
631 Bessemer Super Hwy, Midfield, AL 35228 | |
| (205) 715-6121 | |
| Not Available |
| Full Name | Carol White |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Women's Health |
| Location | 631 Bessemer Super Hwy, Midfield, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447245568 | NPI | - | NPPES |
| 511-16836 | Other | AL | BLUE CROSS BLUE SHIELD OF AL (WESTERN LOCATION) |
| 227330000 | Medicaid | AL | |
| 227390000 | Medicaid | AL | |
| 511-16835 | Other | AL | BLUE CROSS BLUE SHIELD OF AL. (WEST END LOCATION) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LW0102X | Nurse Practitioner - Women's Health | 2010-033 (Wisconsin) | Secondary |
| 363LW0102X | Nurse Practitioner - Women's Health | 1-058146 (Alabama) | Primary |
| Entity Name | Jefferson County Board Of Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336167196 PECOS PAC ID: 1456348622 Enrollment ID: O20040428001696 |
| Mailing Address | Practice Location Address |
|---|---|
| Carol White, NP 631 Bessemer Super Hwy, Midfield, AL 35228-3013 Ph: (205) 715-6121 | Carol White, NP 631 Bessemer Super Hwy, Midfield, AL 35228 Ph: (205) 715-6121 |
Vanessa C. Daniel, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 631 Bessemer Super Hwy, Midfield, AL 35228 Phone: 205-588-5234 | |
Ashley Cooper, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 165 Bessemer Super Hwy, Midfield, AL 35228 Phone: 205-366-1534 |