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Deidra White, NP
Family Nurse Practitioner in Marietta, Georgia
NPI 1568595775

Deidra White is a Family Nurse Practitioner based in Acworth, GA and is specialized in Family. Deidra White practices in Marietta, GA and has the professional credentials of NP. The NPI Number for Deidra White is 1568595775 and holds a License No. 117058 (Georgia).

The current practice location address for Deidra White is 699 Church St Ne, Marietta, GA and can be reached out via phone at 678-355-1620. You can also correspond with Deidra White through the mailing address at 1106 ANEMONE WAY NW, ACWORTH, GA - 30102-8173 (mailing address contact number: 404-425-8479).

Location: 699 Church St Ne, Marietta, GA, 30102-8173
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568595775
Provider Name
Deidra White
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
699 Church St Ne, Marietta, GA, 30102-8173
Phone Number
678-355-1620
Fax Number
Provider Enumeration Date
03/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00810917B 05 GA
institution
Provider Business Practice Location Address Details
Address
699 Church St Ne
City
Marietta
State
Georgia
Zip
30060-1110
Phone Number
678-355-1620
Fax Number
person
Provider Business Mailing Address Details
Address
699 Church St Ne
City
Marietta
State
Georgia
Zip
30060-1110
Phone Number
678-355-1620
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
RN 117058 NP (Georgia)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
117058 (Georgia)
Definition
Definition to come...
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