Individual provider Active NPI

Jaclyn White, AGPCNP, MSN

  • Nurse Practitioner
  • Durham, NC
National Provider Identifier
1477920247
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
241351 Issued in NC
Practice address
20 Duke Medicine Cir
Clinic 2-2
Durham, NC 27710-7340
Phone
(919) 681-9156
Fax
(919) 660-8608
NPI assigned
Aug 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 241351 NC Primary

Addresses

Primary practice location

20 Duke Medicine Cir
Clinic 2-2
Durham, NC 27710-7340

Mailing address

20 Duke Medicine Circle
Clinic 2-2
Durham, NC 27710
Phone (919) 681-9156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151116000349 NC Practitioner - Nurse Practitioner 3870803232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians

Practice addresses (Care Compare)

1002 N Church St
Greensboro, NC 27401-1439
Phone (919) 684-8111

20 Duke Medicine Cir
Durham, NC 27710-2000
Phone (919) 684-8111

40 Duke Medicine Cir
Durham, NC 27710-4000
Phone (919) 684-8111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
241351NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Duke Health Integrated Practice, Inc. CurrentSince Jul 1, 2023 Accepting new patients

Locations

20 Duke Medicine Cir
Durham, NC 27710
Phone (919) 668-6608

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

20 Duke Medicine Cir
#22
Durham, NC 27710
Phone (919) 668-6688

6301 Herndon Rd
Durham, NC 27713
Phone (919) 620-5333

1002 N Church St
Greensboro, NC 27401
Phone (336) 379-7413

3404 Wake Forest Rd
Raleigh, NC 27609
Phone (919) 862-5400

3404 Wake Forest Rd
Ste 302
Raleigh, NC 27609
Phone (919) 862-5400

4101 Macon Pond Rd
Raleigh, NC 27607
Phone (919) 781-7070

Interoperability endpoints

  • Direct secure messaging: jwhite54149@direct.medicine.duke.edu

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1477920247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 DUKE MEDICINE CIRCLE",
            "address_2": "CLINIC 2-2",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27710",
            "telephone_number": "919-681-9156",
            "fax_number": "919-660-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 DUKE MEDICINE CIR",
            "address_2": "CLINIC 2-2",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277107340",
            "telephone_number": "919-681-9156",
            "fax_number": "919-660-8608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JACLYN",
        "credential": "AGPCNP, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-27",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "241351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.