Provider Demographics
NPI:1679359541
Name:WHITE, RESHMEE H (RN)
Entity Type:Individual
Prefix:
First Name:RESHMEE
Middle Name:H
Last Name:WHITE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:772 HUMPHRY DR
Mailing Address - Street 2:
Mailing Address - City:WINDER
Mailing Address - State:GA
Mailing Address - Zip Code:30680-4145
Mailing Address - Country:US
Mailing Address - Phone:678-886-1854
Mailing Address - Fax:
Practice Address - Street 1:772 HUMPHRY DR
Practice Address - Street 2:
Practice Address - City:WINDER
Practice Address - State:GA
Practice Address - Zip Code:30680-4145
Practice Address - Country:US
Practice Address - Phone:678-886-1854
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-06
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN28274163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse