Mr David Jason White, FNP | |
2070 Biddle Ave, Wyandotte, MI 48192-4080 | |
(800) 653-6568 | |
Not Available |
Full Name | Mr David Jason White |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 2070 Biddle Ave, Wyandotte, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194590810 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 35557 (Tennessee) | Secondary |
363LF0000X | Nurse Practitioner - Family | 4704258725 (Michigan) | Primary |
Entity Name | Urgent Care Centers Of East Tennessee, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316124852 PECOS PAC ID: 1951485150 Enrollment ID: O20080227000117 |
Mailing Address | Practice Location Address |
---|---|
Mr David Jason White, FNP 4021 Keith St Nw, Cleveland, TN 37312-4341 Ph: (423) 476-2464 | Mr David Jason White, FNP 2070 Biddle Ave, Wyandotte, MI 48192-4080 Ph: (800) 653-6568 |
Jessica Lynn Davis, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2025 Ford Ave, Wyandotte, MI 48192 Phone: 734-281-3080 Fax: 734-281-8815 | |
Erin Marie Jakovac, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2124 Davis St, Wyandotte, MI 48192 Phone: 734-308-3814 | |
Jamie S Howard, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2333 Biddle Ave, Wyandotte, MI 48192 Phone: 734-246-6000 | |
Mrs. Jennifer Marie Rizk, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 375 Eureka Rd Ste B, Wyandotte, MI 48192 Phone: 734-600-7873 | |
Ms. Layla A Brown, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2025 Fort St, Wyandotte, MI 48192 Phone: 866-389-2727 | |
Mr. Thomas Mcconnell, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2025 Ford Ave Ste 100, Wyandotte, MI 48192 Phone: 734-281-3080 | |
Jodee M. Thornley, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2333 Biddle St, Wyandotte, MI 48192 Phone: 734-324-3463 Fax: 734-246-7266 |