Provider Demographics
NPI:1912224726
Name:WHITE, URSULA TOMIKA (CNP, APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:URSULA
Middle Name:TOMIKA
Last Name:WHITE
Suffix:
Gender:F
Credentials:CNP, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4804 PAGE CREEK LN STE 115
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-8582
Mailing Address - Country:US
Mailing Address - Phone:919-867-4996
Mailing Address - Fax:919-869-1979
Practice Address - Street 1:4804 PAGE CREEK LN STE 115
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-8582
Practice Address - Country:US
Practice Address - Phone:919-867-4996
Practice Address - Fax:919-869-1979
Is Sole Proprietor?:No
Enumeration Date:2010-05-03
Last Update Date:2023-06-29
Deactivation Date:2019-02-01
Deactivation Code:
Reactivation Date:2019-02-18
Provider Licenses
StateLicense IDTaxonomies
NC5011523363LF0000X, 363LF0000X, 363LF0000X
MDAC003109363LF0000X
NM59830363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty