Provider Demographics
NPI:1841592896
Name:ANGELA WHITE ARNP PLLC
Entity Type:Organization
Organization Name:ANGELA WHITE ARNP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE PRACTITIONER
Authorized Official - Phone:904-304-2607
Mailing Address - Street 1:5000 US HIGHWAY 17
Mailing Address - Street 2:44
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32003-8230
Mailing Address - Country:US
Mailing Address - Phone:904-204-2607
Mailing Address - Fax:904-215-1302
Practice Address - Street 1:132 WHISPERING WOODS DR
Practice Address - Street 2:
Practice Address - City:FLEMING ISLAND
Practice Address - State:FL
Practice Address - Zip Code:32003-8137
Practice Address - Country:US
Practice Address - Phone:904-304-2607
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-24
Last Update Date:2010-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3298772251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health