Clara Lee Renia White, R.N. B.S.N.
Individual provider Active NPI Case Management Registered Nurse · Mabelvale, AR
NPI 1952998221 · NPPES record last updated Sep 22, 2021
Key facts
- NPI
- 1952998221
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Management Registered Nurse 163WC0400X
- License
- R42861 (AR)
- Practice address
- 8900 Shiloh Dr
Mabelvale, AR 72103-2141 - Phone
- (501) 240-8771
- NPI assigned
- Dec 21, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R42861 | AR | MD | Community Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R42861 | AR | |
| College Health Registered Nurse | 163WC1400X | R42861 | AR | |
| Community Health Registered Nurse | 163WC1500X | R42861 | AR | |
| Continuing Education/Staff Development Registered Nurse | 163WC1600X | R42861 | AR | |
| Home Health Registered Nurse | 163WH0200X | R42861 | AR | |
| Case Management Registered Nurse | 163WC0400X | R42861 | AR | Yes |
Addresses
Primary practice location
8900 Shiloh Dr
Mabelvale, AR 72103-2141
Mailing address
6475 Pierce Manse Loop
Benton, AR 72019-8541
Phone (501) 240-8771
Other providers in Mabelvale, AR
- Sardis Road Drug Inc.
- Allie Danielle Staton
- Cindy Curtis Stehle
- Thomas Sean Stroud
- Johndrea Tatum
- Casara Nichole Williams
- Kirra Anjelle Williams
- Shaletta Williamson
- Wrinkle Respiratory and DME Inc. Dba Sleep Technologies LTD
All providers in Mabelvale, AR · Case Management Registered Nurse in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.