# LET IT GO JANET WHITE ADULT HEALTH NURSE PRACTITIONER PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124859871
- **Authorized official:** JANET WHITE DNP (OWNER)
- **Authorized official phone:** (917) 324-8860

## Contact information

- **Practice address:** 64 E ROE BLVD, PATCHOGUE, NY 11772-2611
- **Practice address phone:** (631) 408-1545
- **Mailing address:** 30 HIGH PASTURE CIR, DIX HILLS, NY 11746-5621
- **Mailing address phone:** (917) 324-8860

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |

## Other

- **Enumeration date:** 08/13/2024
- **Last updated:** 08/13/2024