Active NPI
Jessica M White Nursing Inc
- Primary Care Clinic/Center
- University Place, WA
National Provider Identifier
1508475906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2089002 | Medicaid | WA |
Other names 1
- UNPC FAMILY MEDICINE CLINIC
National Provider Directory
National Provider DirectoryNPI 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.