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

Jessica K White, APRN-BC

Individual provider Family Nurse Practitioner · NPI 1104391465

Jessica K White, APRN-BC is a Nurse Practitioner in Lake Mary, Florida. Qualified in 2018, 8 years ago. Practices with Skin Dermatology and Cosmetic Services PA, a 4-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
8
Licensed in
FL
In the registry since
2018

Practice location Address checks out

1035 Primera Blvd
Lake Mary, FL 32746-2193
Phone: (407) 333-3040
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN9354800 (FL)

Record details

NPI number1104391465
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-BC
Sole proprietorYes
NPI enumeratedOctober 12, 2018
Last updated in NPPESMarch 31, 2022
Certification dateMarch 31, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Skin Dermatology And Cosmetic Services Pa — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lake Mary