Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jacquelyn Kibodeaux White, MD

Individual provider Family Medicine Physician · NPI 1629186812

Dr. Jacquelyn Kibodeaux White, MD is an Emergency Medicine in Ruston, Louisiana. Graduated from Louisiana State University School of Medicine in Shreveport in 1988, 38 years ago. Practices with Ward 3 4 and 10 Hospital Service District of Parish of Union, a 14-clinician group. Licensed in Louisiana.

Years since qualifying
38
Trained at
Louisiana State University School of Medicine in Shreveport
Licensed in
LA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4001 Ridgemont St
Ruston, LA 71270-9596
Phone: (318) 251-8838
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 021607 (LA)
Family Medicine Physician Taxonomy 207Q00000X · Licence LA201607 (LA)

Record details

NPI number1629186812
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 28, 2006
Last updated in NPPESMay 8, 2025
Certification dateMay 8, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated 1988 (38 years in practice)
Group practice Ward 3 4 And 10 Hospital Service District Of Parish Of Union — 14 clinicians
Accepts Medicare assignment Not indicated

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