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

Dr. Jerry Wade White, MD

Individual provider Developmental - Behavioral Pediatrics Physician · NPI 1992775209

Dr. Jerry Wade White, MD is a Developmental - Behavioral Pediatrics Physician in Fort Campbell, Kentucky. Licensed in California and Louisiana. Registered with an NPI since 2006.

Licensed in
CA, 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.

See every abbreviation used in this directory →

Practice location Address checks out

650 Joel Dr
Fort Campbell, KY 42223-5318
Phone: (270) 798-4677
Fax: (270) 956-0444
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental - Behavioral Pediatrics Physician (primary) Taxonomy 2080P0006X · Licence C52893 (CA)
Developmental - Behavioral Pediatrics Physician Taxonomy 2080P0006X · Licence MD.018896 (LA)

Record details

NPI number1992775209
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 26, 2006
Last updated in NPPESJanuary 16, 2025
Certification dateJanuary 16, 2025
Mailing address650 Joel Dr, Fort Campbell, KY 42223-5318