Provider Demographics
NPI:1538462296
Name:WHITE, TEENA-LOUISE JONES (DNP, ARNP)
Entity Type:Individual
Prefix:DR
First Name:TEENA-LOUISE
Middle Name:JONES
Last Name:WHITE
Suffix:
Gender:F
Credentials:DNP, ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2311 SW ESSEX CT
Mailing Address - Street 2:
Mailing Address - City:PALM CITY
Mailing Address - State:FL
Mailing Address - Zip Code:34990-8201
Mailing Address - Country:US
Mailing Address - Phone:772-215-1625
Mailing Address - Fax:
Practice Address - Street 1:2311 SW ESSEX CT
Practice Address - Street 2:
Practice Address - City:PALM CITY
Practice Address - State:FL
Practice Address - Zip Code:34990-8201
Practice Address - Country:US
Practice Address - Phone:772-215-1625
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-17
Last Update Date:2010-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2061382363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily