Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JALISA WHITE, NNP
Deactivated Sole ProprietorJALISA WHITE, NNP is a Neonatal Critical Care Nurse Practitioner healthcare provider located in EDWARDSVILLE, Kansas. NPI 1497486567 is deactivated in the NPPES registry. Verify at CMS.
Neonatal Critical Care Nurse Practitioner · EDWARDSVILLE, KS
This NPI has been deactivated.
The record was deactivated on July 8, 2022.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1497486567
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 21, 2022 (0.046575342465753 yrs)
- Last Updated
- Oct 31, 2022
- Deactivated
- Jul 8, 2022
- Licenses
-
13-131827-041 (KS)53-81350-041 (KS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
612 S 6TH STEDWARDSVILLE, KS, 661111393Browse KS providers · Browse ZIP 66111
- Phone
- 9133099281
- Primary Specialty
-
Neonatal Critical Care Nurse Practitioner
363LN0005X
- Additional Specialty
- Neonatal Critical Care Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.