NPI

Kim Maria White

NPI 1710505292

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
RN
Type
Individual
Enumeration date
2020-07-10
Last updated
2020-07-10

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Specialties

Licenses

License MS
884964
License MS
MS

Location

Practice location
529 Forest Ave
City
Jackson MS
Postal code
39206-3303
Phone
(559) 331-8603

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Jackson, MS. 8,701 records in the public file.

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