Individual
JESSICA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
30 SHADY LN, WHITE STONE, VA 22578-2601
(804) 435-3133
Mailing address
856 J CLYDE MORRIS BLVD STE A, NEWPORT NEWS, VA 23601-1318
(757) 316-5800
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024191974
VA
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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