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

Kelly Korene White, CNP

Individual provider Registered Nurse · NPI 1417293572

Kelly Korene White, CNP is a Nurse Practitioner in Zimmerman, Minnesota. Qualified in 2013, 13 years ago. Practices with Fairview Clinics, a 806-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
13
Licensed in
MN
In the registry since
2012
Specialties on file
2
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

25945 Gateway Dr
Zimmerman, MN 55398-5300
Phone: (763) 856-6900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence CNP 2080 (MN)
Registered Nurse Taxonomy 163W00000X · Licence R 147784-9 (MN)

Record details

NPI number1417293572
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedDecember 18, 2012
Last updated in NPPESJune 4, 2015

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Fairview Clinics — 806 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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