Provider Demographics
NPI:1477214542
Name:WHITE, JAMIE ELIZABETH (PA-C)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:ELIZABETH
Last Name:WHITE
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:ELIZABETH
Other - Last Name:KEMPFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:720 AUSTIN AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:CO
Mailing Address - Zip Code:80516-2422
Mailing Address - Country:US
Mailing Address - Phone:303-828-9355
Mailing Address - Fax:303-828-4883
Practice Address - Street 1:720 AUSTIN AVE STE 103
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:CO
Practice Address - Zip Code:80516-2422
Practice Address - Country:US
Practice Address - Phone:303-828-9355
Practice Address - Fax:303-828-4883
Is Sole Proprietor?:No
Enumeration Date:2021-12-31
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPA0007750363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant