Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JERRY WADE WHITE, MD
ActiveDR. JERRY WADE WHITE, MD is a Developmental-Behavioral Pediatrics healthcare provider located in FORT CAMPBELL, Kentucky. NPI 1992775209 is currently active in the NPPES registry. Verify at CMS.
Developmental-Behavioral Pediatrics · FORT CAMPBELL, KY
Registration Details
- NPI Number
- 1992775209
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 26, 2006 (20.563638395536 yrs)
- Last Updated
- Jan 16, 2025
- Licenses
-
MD.018896 (LA)C52893 (CA)
Practice Information
- Address
-
650 JOEL DRFORT CAMPBELL, KY, 422235318Browse KY providers · Browse ZIP 42223
- Phone
- 2707984677
- Fax
- 2709560444
- Primary Specialty
-
Developmental-Behavioral Pediatrics
2080P0006X
- Additional Specialty
- Developmental-Behavioral Pediatrics
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.