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Contact Information

REBECCA L WHITE, PMHNP, FNP
690 S HWY 89 STE 201
JACKSON, WY83001-8508
 Phone: 307-690-4521
 Fax: 949-695-2562
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for REBECCA L WHITE · (Female)

NPI Number 1902903321
Status Active
Credentials PMHNP, FNP
Entity Individual
Enumeration date 09/20/2006
Last updated 03/21/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • HI License # APRN-5072
  • ID License # NP-629A
  • MT License # 100917
  • MT License # NP-100917
  • WY License # 19355.0277
  • ID Medicaid 807242401
  • WY Medicaid 123446300
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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