Active NPI
Jaelyn Marie White, CNA
- Nurse's Aide
- Stockton, CA
National Provider Identifier
1174428650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 01387518
- Practice address
- 1841 Gordon Verner Cir
Stockton, CA 95206-6137 - Phone
- (209) 425-7646
- NPI assigned
- Oct 13, 2026
- Last updated
- Oct 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 01387518 | CA | Primary |
Addresses
Primary practice location
1841 Gordon Verner Cir
Stockton, CA 95206-6137
Mailing address
1841 Gordon Verner Cir
Stockton, CA 95206-6137
Phone (209) 425-7646
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791849600000",
"number": "1174428650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1841 GORDON VERNER CIR",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952066137",
"telephone_number": "209-425-7646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1841 GORDON VERNER CIR",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952066137",
"telephone_number": "209-425-7646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "JAELYN",
"middle_name": "MARIE",
"credential": "CNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-10-13",
"last_updated": "2026-10-13",
"certification_date": "2026-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "CA",
"license": "01387518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.