NPI Registry.org

Jonathan Tyler White

NPI Registration Record

Provider / OrganizationNPIDate Certified
JONATHAN TYLER WHITE11549985402021-09-23

Jonathan Tyler White is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1154998540. Registration indicates Jonathan Tyler White is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)

Entity TypeIndividual
Provider NameMr. Jonathan Tyler White PA
Practice Office Address1770 LAKE CUMBERLAND RD
MOUNT VERNON, KY US
Practice Office Telephone6062562195
Mailing Address1770 LAKE CUMBERLAND RD
MOUNT VERNON, KY 404568431 US
Business Telephone6062562195
Offices / Locations
AddressCity / StatePhone / Fax
145 Newcomb Ave Mount Vernon, KY 404562728 6062562195 / 6062562753
HPT Codes
CodePractice
License No
State
363A00000X PRIMARYAccess to Adult/Geriatric Primary Care Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician AssistantAccess to Pediatric Primary Care Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant
All Other Specialties & Provider Types

Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers
TC120
KY
OPI Codes
TC120 OTHER KY MEDICAL LICENSE
There has been an issue connecting to the database. The bells are ringing and alarms are sounding. Please try again in a few short minues and hopefully the problem will be resolved.SQLSTATE[HY000] [2002] Connection refused