NPI 1124287156

Mary Kathryn White, FNP

Practitioner Family Nurse Practitioner Jackson, WY

Practice location

Address: 555 E Broadway St Suite 202, Jackson, WY 83001-4182
Phone: (307) 733-6520
Fax: (307) 733-3216
Mailing address: PO Box 4182, Jackson, WY 83001-4182

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 20671.0951 (WY)

Other Nurse Practitioner providers in Wyoming →

Registry record

NPI: 1124287156
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Jun 2008
Record last updated: 30 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.