Dr. Jerry Wade White
MD | Developmental - Behavioral Pediatrics | Male
Dr. Jerry Wade White, MD is a Fort Campbell, Kentucky based Pediatric doctor with medical specialization in
Developmental - Behavioral Pediatrics.
Current practice location of Dr. Jerry Wade White is
650 Joel Dr, Fort Campbell, Kentucky - 42223-5318. He can be contacted on phone at
270-798-4677 and fax number 270-956-0444.
Dr. Jerry Wade White is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Jerry Wade White is
1992775209 which was assigned by NPPES on 26 Jan, 2006 and it was last updated on 02 Jul, 2019.
Dr. Jerry Wade White license number is
C52893 for Pediatrics Developmental - Behavioral Pediatrics (2080P0006X) in California.
Dr. Jerry Wade White is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Complete Profile:
Dr. Jerry Wade White basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Developmental - Behavioral Pediatrics |
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| Provider Name : | Dr. Jerry Wade White |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Jerry Wade White address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 650 Joel Dr
Fort Campbell, KY, 42223-5318
United States |
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| Phone Number : | 270-798-4677 |
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| Fax Number : | 270-956-0444 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1992775209 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 26 Jan, 2006 |
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| Last Updated On : | 02 Jul, 2019 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jerry Wade White are as mentioned. Primary taxonomy code for Dr. Jerry Wade White, MD is
2080P0006X (Pediatrics Developmental - Behavioral Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0006X | Pediatrics Developmental - Behavioral Pediatrics | Yes | C52893 | CA |
| 2080P0006X | Pediatrics Developmental - Behavioral Pediatrics | No | MD.018896 | LA |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 650 Joel Dr
Fort Campbell, KY, 42223-5318
United States |
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| Phone Number : | 270-798-4677 |
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| Fax Number : | 270-956-0444 |
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Business Location:
Patients can refer following map for directions to
Dr. Jerry Wade White practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.