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

Jacquelin White

Individual provider Physician Assistant · NPI 1750247318

Jacquelin White is a Physician Assistant in Detroit, Michigan. Graduated from Mercy College in 2025, 1 year ago. Practices with Park Family Health Care PC, a 20-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
1
Trained at
Mercy College
Licensed in
MI
In the registry since
2025
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Practice location Address checks out

20333 Conant St
Detroit, MI 48234-1228
Phone: (313) 368-0705
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (MI)

Record details

NPI number1750247318
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 29, 2025
Last updated in NPPESJuly 21, 2026
Certification dateJuly 21, 2026
Mailing address20333 Conant St, Detroit, MI 48234-1228

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMERCY COLLEGE
Graduated 2025 (1 years in practice)
Group practice Park Family Health Care Pc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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