What is Jackie White's NPI number?

Jackie White's National Provider Identifier (NPI) is 1417964107, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jackie White's specialty?

Jackie White is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).

Where is Jackie White located?

Jackie White's practice location on file with NPPES is 201 N Walnut, Imboden, AR 72434.

What is Jackie White's phone number?

The practice phone number listed in the NPPES registry for Jackie White is (870) 869-3101.

Is Jackie White's NPI active?

Yes — Jackie White's NPI (1417964107) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Jackie White, MD

NPI 1417964107 · Family Medicine Physician · Imboden, AR

Jackie White, MD is a Family Medicine Physician provider in Imboden, AR (NPI 1417964107).

Provider details

NPI number: 1417964107
Entity type: Individual
Primary specialty: Family Medicine PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Male
Sole proprietor: No
License: C5252 (AR)

Specialties & taxonomies

Family Medicine PhysicianPrimary207Q00000XLicense C5252 (AR)
Allopathic & Osteopathic Physicians

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

201 N Walnut

Imboden, AR 72434

Phone: (870) 869-3101

Fax: (870) 869-3014

Street-level locationGet directions

More AR providers

Mailing address

Po Box 128