Stephanie White, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

902745 Issued in MS

Practice address

3400 Goodman Rd W
Horn Lake, MS 38637-1174

Phone

(662) 393-8022

NPI assigned

Jul 5, 2018

Last updated

Jul 5, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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

• Horn Lake Chiropractic Centre, Inc.

  • Clinic/Center
  • Horn Lake, MS
  • NPI 1306877493
  NPD (past)
• Newsom Healthcare of Desoto County, LLC

  • Primary Care Clinic/Center
  • Horn Lake, MS
  • NPI 1205243649
  NPD (past)
• Memphis Lung Physicians, P.C.

  • Pulmonary Disease Physician
  • Memphis, TN
  • NPI 1053340166
  NPD (past)

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1720574585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12241 S STATELY OAK DR",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380024557",
            "telephone_number": "901-356-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 GOODMAN RD W",
            "city": "HORN LAKE",
            "state": "MS",
            "postal_code": "386371174",
            "telephone_number": "662-393-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-05",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #03323)
• Walgreen Co (Walgreens #07849)
• Kenora S Wallace
• Sarah Walls
• Kayla Washington, M.ED
• Freddie Earl Wilkes Jr., D.D.S.
• William E Middleton Jr DDS PA
• Ladarrius Tremell Williams
• Wilson's Sensational Care, LLC
• Kyna Robinson Woollery, MS

• Family Nurse Practitioner in Horn Lake, MS
• Providers in Horn Lake, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; 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.