Organization Active NPI

Jessica M White Nursing Inc

  • Primary Care Clinic/Center
  • University Place, WA
National Provider Identifier
1508475906
Registry record updated Aug 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
JESSICA M WHITE NURSING INC
Practice address
2607 Bridgeport Way W Ste 2E
University Place, WA 98466-4725
Phone
(253) 948-9927
NPI assigned
Jul 31, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2020

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

Authorized official

Name
Ms. Jessica Morgan White, MSN, FNP-BC, ACNP-BC
Title
Arnp
Phone
(818) 263-4362

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2607 Bridgeport Way W Ste 2E
University Place, WA 98466-4725

Mailing address

2607 Bridgeport Way W Ste 2E
University Place, WA 98466-4725
Phone (253) 948-9927

Other identifiers 1

IdentifierTypeStateIssuer
2089002MedicaidWA

Other names 1

  • UNPC FAMILY MEDICINE CLINIC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597968000000",
    "number": "1508475906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 BRIDGEPORT WAY W STE 2E",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664725",
            "telephone_number": "253-948-9927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 BRIDGEPORT WAY W STE 2E",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664725",
            "telephone_number": "253-948-9927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA M WHITE NURSING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-31",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "MORGAN",
        "authorized_official_title_or_position": "ARNP",
        "authorized_official_telephone_number": "818-263-4362",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSN, FNP-BC, ACNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2089002",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNPC FAMILY MEDICINE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in University Place, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.