Provider Demographics
NPI:1396064119
Name:WHITE, JANE HOWARTH (PHD, MSN, APRN)
Entity type:Individual
Prefix:DR
First Name:JANE
Middle Name:HOWARTH
Last Name:WHITE
Suffix:
Gender:F
Credentials:PHD, MSN, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 EUSTON RD
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-1204
Mailing Address - Country:US
Mailing Address - Phone:516-984-2650
Mailing Address - Fax:
Practice Address - Street 1:204 EUSTON RD
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-1204
Practice Address - Country:US
Practice Address - Phone:516-984-2650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-18
Last Update Date:2010-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY569766163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult