person
Da'kira Kanisha White, NP
Family Nurse Practitioner in Peoria, Illinois
NPI 1710629571

Da'kira Kanisha White is a Family Nurse Practitioner based in Peoria, IL and is specialized in Family. Da'kira Kanisha White practices in Peoria, IL and has the professional credentials of NP. The NPI Number for Da'kira Kanisha White is 1710629571 and holds a License No. 041429896 (Illinois).

The current practice location address for Da'kira Kanisha White is 5209 W War Memorial Dr, Peoria, IL and can be reached out via phone at 309-308-5100.

Location: 5209 W War Memorial Dr, Peoria, IL, 61615-2972
person
Provider Profile Details
NPI Number
1710629571
Provider Name
Da'kira Kanisha White
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
5209 W War Memorial Dr, Peoria, IL, 61615-2972
Phone Number
309-308-5100
Fax Number
Provider Enumeration Date
04/12/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5209 W War Memorial Dr
City
State
Zip
61615-9250
Phone Number
309-308-5100
Fax Number
person
Provider Business Mailing Address Details
Address
5209 W War Memorial Dr
City
State
Zip
61615-9250
Phone Number
309-308-5100
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
041429896 (Illinois)
Definition
Definition to come...
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