IndividualActive
Jeremy White, M.D.
NPI 1104237007 · Interventional Cardiology Physician · Jackson, MS
Provider details
- NPI number
- 1104237007
- Entity type
- Individual
- Primary specialty
- Interventional Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- A169147 (CA)
Practice location
501 Marshall St Ste 104
Jackson, MS 39202-1663
Phone: (601) 969-6404
Fax: (601) 973-4541
Mailing address
965 Ridge Lake Blvd Ste 315
Memphis, TN 38120-9401
Registry dates
- Enumerated
- 2014-05-13
- Last updated
- 2022-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.