Provider Demographics
NPI:1821327750
Name:WHITE, DOUGLAS FRANCIS (RN, BA, ADN)
Entity Type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:FRANCIS
Last Name:WHITE
Suffix:
Gender:M
Credentials:RN, BA, ADN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1842 NW 39TH DR
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605-3577
Mailing Address - Country:US
Mailing Address - Phone:352-256-9333
Mailing Address - Fax:
Practice Address - Street 1:1842 NW 39TH DR
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605-3577
Practice Address - Country:US
Practice Address - Phone:352-256-9333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-24
Last Update Date:2009-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN 1023442163W00000X
SCR 203859163W00000X
AK29242163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse