Mr David Jason White, FNP | |
15606 Southfield Rd, Allen Park, MI 48101-2513 | |
(313) 771-5274 | |
Not Available |
Full Name | Mr David Jason White |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 15606 Southfield Rd, Allen Park, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194590810 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 4704258725 (Michigan) | Primary |
363LF0000X | Nurse Practitioner - Family | 35557 (Tennessee) | Secondary |
Entity Name | Urgent Care Centers Of East Tennessee, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316124852 PECOS PAC ID: 1951485150 Enrollment ID: O20080227000117 |
Mailing Address | Practice Location Address |
---|---|
Mr David Jason White, FNP 4021 Keith St Nw, Cleveland, TN 37312-4341 Ph: (423) 476-2464 | Mr David Jason White, FNP 15606 Southfield Rd, Allen Park, MI 48101-2513 Ph: (313) 771-5274 |
Melissa Erin Hana, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15101 Southfield Rd Ste 101, Allen Park, MI 48101 Phone: 313-383-3333 | |
Eid Tahsine Eid, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14825 Southfield Rd, Allen Park, MI 48101 Phone: 313-383-7071 | |
Mrs. Theodora Chukwudi, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7445 Allen Rd Ste 270, Allen Park, MI 48101 Phone: 313-920-6546 Fax: 313-949-5793 | |
Jazminn Martinez, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14825 Southfield Rd, Allen Park, MI 48101 Phone: 313-383-7071 | |
Linsey Lozon, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7445 Allen Rd Ste 210, Allen Park, MI 48101 Phone: 313-388-9552 | |
Dione Michel Johnson, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15606 Southfield Rd, Allen Park, MI 48101 Phone: 313-216-6200 | |
Ashley Singh, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7445 Allen Rd Ste 250, Allen Park, MI 48101 Phone: 734-282-2800 |