Provider Demographics
NPI:1942618111
Name:WHITE, JANEEN MICHELLE (APRN)
Entity Type:Individual
Prefix:MISS
First Name:JANEEN
Middle Name:MICHELLE
Last Name:WHITE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:730 MC CAFFREE CIR
Mailing Address - Street 2:
Mailing Address - City:GARDNER
Mailing Address - State:KS
Mailing Address - Zip Code:66030-1283
Mailing Address - Country:US
Mailing Address - Phone:785-643-3334
Mailing Address - Fax:
Practice Address - Street 1:27745 W 159TH ST
Practice Address - Street 2:
Practice Address - City:NEW CENTURY
Practice Address - State:KS
Practice Address - Zip Code:66031-1130
Practice Address - Country:US
Practice Address - Phone:785-643-3334
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-31
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-76355363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily