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Dr. Jackie R White, MD
Family Medicine Physician in Imboden, Arkansas
NPI 1417964107

Jackie R White is a Family Medicine Physician based in Imboden, AR. Jackie R White practices in Imboden, AR and has the professional credentials of MD. The NPI Number for Jackie R White is 1417964107 and holds a License No. C5252 (Arkansas).

The current practice location address for Jackie R White is 201 N Walnut, Imboden, AR and can be reached out via phone at 870-869-3101 and via fax at 870-869-3014.

Location: 201 N Walnut, Imboden, AR, 72434
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417964107
Provider Name
Jackie R White
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
201 N Walnut, Imboden, AR, 72434
Phone Number
870-869-3101
Fax Number
870-869-3014
Provider Enumeration Date
08/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
710836669002 01 PRUDENTIAL
7182132 01 AETNA
institution
Provider Business Practice Location Address Details
Address
201 N Walnut
City
Imboden
State
Arkansas
Zip
72434
Phone Number
870-869-3101
Fax Number
870-869-3014
person
Provider Business Mailing Address Details
Address
201 N Walnut
City
Imboden
State
Arkansas
Zip
72434
Phone Number
870-869-3101
Fax Number
870-869-3014
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
C5252 (Arkansas)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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