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

Dr. Jerry Wade White, MD

Individual provider Developmental - Behavioral Pediatrics Physician · NPI 1992775209

Dr. Jerry Wade White, MD is a Developmental - Behavioral Pediatrics Physician in Fort Campbell, Kentucky. Licensed in California and Louisiana. Registered with an NPI since 2006.

Licensed in
CA, LA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

650 Joel Dr
Fort Campbell, KY 42223-5318
Phone: (270) 798-4677
Fax: (270) 956-0444
Show map & directions

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

Specialties & licences

Developmental - Behavioral Pediatrics Physician (primary) Taxonomy 2080P0006X · Licence C52893 (CA)
Developmental - Behavioral Pediatrics Physician Taxonomy 2080P0006X · Licence MD.018896 (LA)

Record details

NPI number1992775209
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 26, 2006
Last updated in NPPESJanuary 16, 2025
Certification dateJanuary 16, 2025