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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1861256307

Jordan B White is a Student in an Organized Health Care Education/Training Program in Jackson, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

4820 Northampton Dr
Jackson, MS 39211-5730
Phone: (601) 616-1710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence T-5858 (MS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1861256307
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 6, 2024
Last updated in NPPESJuly 1, 2025
Certification dateJuly 1, 2025
Mailing address411 Westport Way, Flowood, MS 39232-7543

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