IndividualActive
Jalisa White, NNP
NPI 1497486567 · Critical Care Neonatal Nurse Practitioner · Edwardsville, KS
Provider details
- NPI number
- 1497486567
- Entity type
- Individual
- Primary specialty
- Critical Care Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 13-131827-041 (KS)
Mailing address
612 S 6th St
Edwardsville, KS 66111-1393
Registry dates
- Enumerated
- 2022-06-21
- Last updated
- 2022-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.