Provider Demographics
NPI:1902264195
Name:WHITE, MARSHA LEWIS (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:MARSHA
Middle Name:LEWIS
Last Name:WHITE
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 751803
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28275-1803
Mailing Address - Country:US
Mailing Address - Phone:336-643-3378
Mailing Address - Fax:336-643-3670
Practice Address - Street 1:7607 NC HIGHWAY 68 N STE B
Practice Address - Street 2:
Practice Address - City:OAK RIDGE
Practice Address - State:NC
Practice Address - Zip Code:27310-8803
Practice Address - Country:US
Practice Address - Phone:336-643-3378
Practice Address - Fax:336-643-3670
Is Sole Proprietor?:No
Enumeration Date:2016-02-03
Last Update Date:2020-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC122231363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care